Organization
GARDNER FAMILY HEALTH NETWORK INC
Active
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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