Organization
INDIAN HEALTH CENTER OF SANTA CLARA VALLEY
Active
Organization
INDIAN HEALTH CENTER OF SANTA CLARA VALLEY
Active
Other names
Indian Health Center of Santa Clara Valley - Mobile Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SONYA TETNOWSKI (CHIEF EXECUTIVE OFFICER)
(408) 445-3400
Entity
Organization
Contact information
Practice address
1333 MERIDIAN AVE, SAN JOSE, CA 95125-5212
(408) 445-3400
(408) 960-7016
Mailing address
1333 MERIDIAN AVE, SAN JOSE, CA 95125-5212
(408) 445-3400
(408) 960-7016
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
36971
CA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
36971
CA
Other
Enumeration date
07/19/2006
Last updated
06/22/2026
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