Organization
MAYVIEW COMMUNITY HEALTH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELVIN QUAN (CEO)
(650) 327-1223
Entity
Organization
Contact information
Practice address
270 GRANT AVE, PALO ALTO, CA 94306-1911
(650) 327-1223
(650) 327-8572
Mailing address
270 GRANT AVE, PALO ALTO, CA 94306-1911
(650) 327-1223
(650) 327-8572
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
220000415
CA
261QC1500X
Community Health Clinic/Center
220000433
CA
261QC1500X
Community Health Clinic/Center
550000159
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM71131F
—
CA
01
—
EAP11533G
EAPC FUNDING
CA
05
—
ZZR11533G
—
CA
05
—
ZZZR11763F
—
CA
Enumeration date
08/31/2006
Last updated
07/20/2016
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