Organization
SOUTH COUNTY COMMUNITY HEALTH CENTER INC.
Active
Other names
Ravenswood Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE YOST (CHIEF FINANCIAL OFFICER)
(650) 330-7400
Entity
Organization
Contact information
Practice address
1798 BAY RD # A, EAST PALO ALTO, CA 94303-1611
(650) 330-7400
(650) 321-1156
Mailing address
1798 BAY RD # A, EAST PALO ALTO, CA 94303-1611
(650) 330-7400
(650) 321-1156
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
05245
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4CDJ56M23R2107497
VIN
CA
05
—
FHC70935F
—
CA
Enumeration date
01/23/2007
Last updated
06/11/2008
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