Organization
SARATOGA MEDICAL CENTER
Active
Other names
SARATOGA MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DIRENDIA SHACKELFORD (MANAGED CARE SPECIALIST)
(800) 654-0889
Entity
Organization
Contact information
Practice address
1060 SARATOGA AVE, SAN JOSE, CA 95129-3402
(408) 243-6911
(408) 243-6941
Mailing address
1060 SARATOGA AVE, SAN JOSE, CA 95129-3402
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
G21069
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0504173
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/24/2006
Last updated
06/20/2008
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