Organization
SMCCD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRY JOEL (VICE CHANCELLOR)
(650) 358-6767
Entity
Organization
Contact information
Practice address
1700 W HILLSDALE BLVD, SAN MATEO, CA 94402-3757
(650) 574-6396
(650) 574-6259
Mailing address
1700 W HILLSDALE BLVD, SAN MATEO, CA 94402-3757
(650) 574-6396
(650) 574-6259
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
NP 14521
CA
261QH0100X
Health Service Clinic/Center
Primary
NP14521
CA
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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