Organization
GARDNER FAMILY HEALTH NETWORK INC
Active
Other names
Pioneer High School
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA PEREZ CREDENTIALING (CREDENTIALING SPECIALIST)
(408) 938-2113
Entity
Organization
Contact information
Practice address
1290 BLOSSOM HILL RD, SAN JOSE, CA 95118-3126
(408) 398-2113
Mailing address
160 E VIRGINIA ST SUITE #100, CREDENTIALING DEPT, SAN JOSE, CA 95112
(408) 938-2113
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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