# UNNIVERSITY HEALTHCARE ALLIANCE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Collaborative Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740658566
- **Authorized official:** KRISTINE RUSLEN (DIRECTOR OF REIMBURSEMENT)
- **Authorized official phone:** (510) 974-8297

## Contact information

- **Practice address:** 14251 WINCHESTER BLVD, SUITE 200, LOS GATOS, CA 95032-1811
- **Practice address phone:** (408) 426-5540
- **Mailing address:** 14251 WINCHESTER BLVD, SUITE 200, LOS GATOS, CA 95032-1811
- **Mailing address phone:** (408) 426-5540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/10/2015
- **Last updated:** 09/08/2017