# SAN ANDREAS REGIONAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790076552
- **Authorized official:** MS. MARILYN POLLARD (QMRP)
- **Authorized official phone:** (408) 374-9960

## Contact information

- **Practice address:** 300 ORCHARD CITY DRIVE, SUITE 170, CAMPBELL, CA 95008
- **Practice address phone:** (408) 374-9960
- **Mailing address:** 300 ORCHARD CITY DR, SUITE 170, CAMPBELL, CA 95008-2932
- **Mailing address phone:** (408) 374-9960
- **Mailing address fax:** (408) 379-1130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/28/2011
- **Last updated:** 11/29/2011