Organization
GARDNER FAMILY HEALTH NETWORK INC
Active
Parent organization
GARDNER FAMILY HEALTH NETWORK INC
Other names
Proyecto Primavera
Organization subpart
Yes
Provider details
NPI number
Legal business name
GARDNER FAMILY HEALTH NETWORK INC
Authorized official
CHRISTINA CORNELL (CREDENTIALING SUPERVISOR)
(408) 579-6178
Entity
Organization
Contact information
Practice address
614 TULLY RD, SAN JOSE, CA 95111-1048
(408) 977-1591
(408) 998-1535
Mailing address
160 E VIRGINIA ST STE 100, SAN JOSE, CA 95112-5865
(408) 579-6178
(408) 579-6143
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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