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Organization
UNNIVERSITY HEALTHCARE ALLIANCE
Active
Organization
UNNIVERSITY HEALTHCARE ALLIANCE
Active
Other names
Collaborative Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE RUSLEN (DIRECTOR OF REIMBURSEMENT)
(510) 974-8297
Entity
Organization
Contact information
Practice address
14251 WINCHESTER BLVD, SUITE 200, LOS GATOS, CA 95032-1811
(408) 426-5540
Mailing address
14251 WINCHESTER BLVD, SUITE 200, LOS GATOS, CA 95032-1811
(408) 426-5540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/10/2015
Last updated
09/08/2017
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