Organization
MAYVIEW COMMUNITY HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMIMA HASAN (CHIEF EXECUTIVE OFFICER)
(650) 327-1223
Entity
Organization
Contact information
Practice address
785 MORSE AVE, SUNNYVALE, CA 94085-3010
(408) 746-0455
Mailing address
270 GRANT AVE, PALO ALTO, CA 94306-1911
(650) 327-1223
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
550000159
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM71131F
—
CA
Enumeration date
06/08/2011
Last updated
06/08/2011
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