Organization
COUNTY OF SANTA CLARA
Active
Parent organization
COUNTY OF SANTA CLARA
Other names
O' Connor Medical Clinic Forest #104
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF SANTA CLARA
Authorized official
PAUL E LORENZ (CHIEF EXECUTIVE OFFICER)
(408) 885-4010
Entity
Organization
Contact information
Practice address
2100 FOREST AVE STE 104, SAN JOSE, CA 95128-1422
(408) 454-2626
Mailing address
PO BOX 103331, PASADENA, CA 91189-3331
(669) 299-8165
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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