Organization
COUNTY OF SANTA CLARA
Active
Parent organization
COUNTY OF SANTA CLARA
Other names
Valley Health Center Lundy
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF SANTA CLARA
Authorized official
PAUL E LORENZ (CHIEF EXECUTIVE OFFICER)
(408) 885-4010
Entity
Organization
Contact information
Practice address
1996 LUNDY AVE, SAN JOSE, CA 95131-1831
(408) 885-5000
Mailing address
PO BOX 103331, PASADENA, CA 91189-3331
(669) 299-8165
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG5995
RR MEDICARE
CA
05
—
EXE70053F
—
CA
Enumeration date
02/16/2007
Last updated
10/11/2023
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