Organization
GARDNER FAMILY HEALTH NETWORK INC
Active
Parent organization
GARDNER FAMILY HEALTH NETWORK, INC.
Other names
Gardner Downtown Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
GARDNER FAMILY HEALTH NETWORK, INC.
Authorized official
OFELIA RUIZ (DIRECTOR)
(408) 935-3971
Entity
Organization
Contact information
Practice address
725 E. SANTA CLARA STREET, SAN JOSE, CA 95112-1900
(408) 918-2682
(408) 278-7799
Mailing address
160 E. VIRGINIA STREET, SUITE 100, SAN JOSE, CA 95112-5865
(408) 918-2682
(408) 278-7799
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251X00000X
Supports Brokerage Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
751005
—
CA
Enumeration date
03/26/2012
Last updated
05/08/2023
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