Organization
GARDNER FAMILY HEALTH NETWORK INC
Active
Parent organization
GARDNER FAMILY HEALTH NETWORK, INC.
Other names
Gardner Packard Children's Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
GARDNER FAMILY HEALTH NETWORK, INC.
Authorized official
OFELIA RUIZ (DIRECTOR)
(408) 935-3971
Entity
Organization
Contact information
Practice address
3351 EL CAMINO REAL, SUITE 100, ATHERTON, CA 94027-3811
(408) 200-2291
(408) 278-7799
Mailing address
1621 GOLD STREET, ALVISO, CA 95002-1240
(408) 200-2291
(408) 935-3988
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/25/2012
Last updated
08/22/2017
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