Organization
SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.
Active
Parent organization
SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.
Other names
Foothill Community Mobile Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.
Authorized official
SALVADOR CHAVARIN (CHIEF EXECUTIVE OFFICER)
(408) 729-4290
Entity
Organization
Contact information
Practice address
2880 STORY RD, SUITE 10, SAN JOSE, CA 95127-3942
(408) 729-9700
Mailing address
2670 S WHITE RD, SUITE 200, SAN JOSE, CA 95148-2071
(408) 729-4290
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
H80CS06646
CA
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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