Organization
O'CONNOR HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORDAN HERGET (PRESIDENT & CEO)
(408) 947-2515
Entity
Organization
Contact information
Practice address
2105 FOREST AVE, SAN JOSE, CA 95128-1425
(408) 947-2500
(650) 551-6691
Mailing address
PO BOX 742797, LOS ANGELES, CA 90074-2797
(408) 947-2500
(650) 551-6691
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
070000072
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CGP032465
—
CA
05
—
HSC00153H
—
CA
05
—
HSP40153H
—
CA
05
—
ZZR00153H
—
CA
Enumeration date
08/31/2006
Last updated
01/23/2017
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