Organization
DCHS MEDICAL FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNEST WALLERSTEIN (CEO)
(408) 278-3000
Entity
Organization
Contact information
Practice address
2585 SAMARITAN DR, SAN JOSE, CA 95124-4107
(408) 278-3000
Mailing address
400 RACE ST, SAN JOSE, CA 95126-3518
(408) 278-3000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
09/02/2010
Last updated
09/25/2012
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