Organization
SANTA CLARA COUNTY CCS
Active
Other names
CHANDLER TRIPP MTU
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA MENDEZ RN (ADMINISTRATOR)
(408) 793-6200
Entity
Organization
Contact information
Practice address
780 THORNTON WAY, SAN JOSE, CA 95128-4713
(408) 793-5900
(408) 793-5975
Mailing address
720 EMPEY WAY, SAN JOSE, CA 95128-4710
(408) 793-6200
(408) 793-6250
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CCS00047F
—
CA
Enumeration date
11/24/2006
Last updated
04/15/2024
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