Organization
SAN JOSE/EVERGREEN COMMUNITY COLLEGE DISTRICT
Active
Other names
Evergreen Valley CollegeStudent Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE ASSADI RN (DIRECTOR OF STUDENT HEALTH SERVICES)
(408) 274-7900
Entity
Organization
Contact information
Practice address
3095 YERBA BUENA RD, SAN JOSE, CA 95135-1513
(408) 270-6480
(408) 532-1831
Mailing address
3095 YERBA BUENA RD, SAN JOSE, CA 95135-1513
(408) 270-6480
(408) 532-1831
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
EXE70004F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EXE70004F
—
CA
Enumeration date
04/26/2007
Last updated
12/18/2014
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