Organization
SOUTH COUNTY COMMUNITY HEALTH CENTER, INC.
Active
Other names
Ravenswood Family Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUISA BUADA RN,MPH (CEO)
(650) 330-7410
Entity
Organization
Contact information
Practice address
1885 BAY RD, EAST PALO ALTO, CA 94303-1312
(650) 330-7400
(650) 321-1560
Mailing address
1885 BAY RD, SUITE A, EAST PALO ALTO, CA 94303-1312
(650) 330-7400
(650) 321-1560
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
PHY53775
CA
Other
Enumeration date
12/28/2015
Last updated
02/22/2016
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