Organization
INDIAN HEALTH CENTER OF SANTA CLARA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA A STARZYK (HUMAN RESOURCE ASSISTANT)
(408) 445-3400
Entity
Organization
Contact information
Practice address
602 E SANTA CLARA ST, SUITE 230, SAN JOSE, CA 95112-1908
(408) 445-3400
(408) 998-8043
Mailing address
1333 MERIDIAN AVE, SAN JOSE, CA 95125-5212
(408) 445-3400
(408) 448-1041
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
070000482
CA
Other
Enumeration date
10/04/2011
Last updated
11/29/2011
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