Organization
ACHIEVEKIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MINERVA CARRILLO (INTERN)
(650) 494-1200
Entity
Organization
Contact information
Practice address
3860 MIDDLEFIELD ROAD, ACHIEVEKIDS, PALO ALTO, CA 94303
(650) 494-1200
Mailing address
3860 MIDDLEFIELD RD, PALO ALTO, CA 94303-4716
(650) 494-1200
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
10410000X
CA
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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