Organization
EL CAMINO HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MING-RONG CHEN WOO (DIRECTOR REV & REIMB)
(650) 940-7247
Entity
Organization
Contact information
Practice address
555 KNOWLES DR, SUITE #100, LOS GATOS, CA 95032-1549
(650) 940-7000
Mailing address
2500 GRANT RD, MOUNTAIN VIEW, CA 94040-4302
(650) 940-7000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
070000660
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CDC02659G
—
CA
05
—
HSC30308H
—
CA
05
—
HSP30308H
—
CA
05
—
HSP40308H
—
CA
05
—
LTC55593F
—
CA
05
—
PBH35400
—
CA
01
—
ZZZA43042
BLUE SHIELD
CA
Enumeration date
04/13/2009
Last updated
04/22/2015
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