Organization
MAYVIEW COMMUNITY HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAMIMA HASAN (CHIEF EXECUTIVE OFFICER)
(650) 327-1223
Entity
Organization
Contact information
Practice address
900 MIRAMONTE AVE, 2ND FLOOR, MOUNTAIN VIEW, CA 94040-2457
(650) 965-3323
Mailing address
270 GRANT AVE, PALO ALTO, CA 94306-1911
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
220000415
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR11533G
—
CA
Enumeration date
06/08/2011
Last updated
06/27/2013
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