Organization
UNIVERSITY HEALTHCARE ALLIANCE
Active
Other names
ENT of Los Gatos
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE RUSLEN (DIRECTOR OF REIMBURSEMENT)
(510) 974-8297
Entity
Organization
Contact information
Practice address
15861 WINCHESTER BLVD, LOS GATOS, CA 95030-3306
(408) 395-6121
Mailing address
PO BOX 742244, LOS ANGELES, CA 90074-2244
(888) 924-1036
(510) 974-8322
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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