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Organization

COUNTY OF SANTA CLARA

Active
Parent organization
COUNTY OF SANTA CLARA
Other names
Podiatry Professional Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
COUNTY OF SANTA CLARA
Authorized official
DR. ALFONSO F BANUELOS MD (CHIEF MEDICAL OFFICER)
40888550000
Entity
Organization

Contact information

Practice address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5000
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5000

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GRE001030
CA
Enumeration date
01/07/2008
Last updated
01/07/2008
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