Organization
INDIAN HEALTH CENTER OF SANTA CLARA VALLEY
Active
Organization
INDIAN HEALTH CENTER OF SANTA CLARA VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA E EDMO (HUMAN RESOURCE DIRECTOR)
(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) 448-1041
Mailing address
1333 MERIDIAN AVE, SAN JOSE, CA 95125-5212
(408) 445-3400
(408) 448-1041
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
070000118
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EAP11833F
EAPC
CA
01
—
FHC11833F
MEDICAL
CA
Enumeration date
05/28/2008
Last updated
11/07/2024
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