Organization
STANFORD HEALTH CARE TRI-VALLEY
Active
Other names
VALLEY MEMORIAL HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE WICHELMANN (CHIEF FINANCIAL OFFICER)
(925) 847-3000
Entity
Organization
Contact information
Practice address
5555 W LAS POSITAS BLVD, PLEASANTON, CA 94588-4000
(925) 847-3000
Mailing address
PO BOX 748618, LOS ANGELES, CA 90074-8618
(925) 847-3000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
140000114
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSP40283F
—
CA
05
—
ZZR00283F
—
CA
Enumeration date
12/07/2006
Last updated
07/24/2024
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