Organization
INDIAN HEALTH CENTER OF SANTA CLARA VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALDON WAYNE SCOTT DM (DIRECTOR OF OPERATIONS)
(408) 445-3400
Entity
Organization
Contact information
Practice address
9501 MALECH RD, SAN JOSE, CA 95138
(408) 445-3400
(408) 448-1727
Mailing address
1333 MERIDIAN AVE, SAN JOSE, CA 95125-5212
(408) 445-3400
(408) 448-1727
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FAC11833F
—
CA
Enumeration date
10/22/2018
Last updated
10/22/2018
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