Organization
GARDNER FAMILY HEALTH NETWORK INC
Active
Other names
John XXIII Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
REYMUNDO C ESPINOZA (CEO)
(408) 200-2291
Entity
Organization
Contact information
Practice address
195 E SAN FERNANDO ST, SAN JOSE, CA 95112-3503
(408) 935-3918
Mailing address
1621 GOLD ST, ALVISO, CA 95002-3530
(408) 935-3971
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699041566
—
CA
Enumeration date
04/10/2019
Last updated
04/10/2019
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