Organization
GARDNER FAMILY HEALTH NETWORK
Active
Organization
GARDNER FAMILY HEALTH NETWORK
Active
Parent organization
GARDNER FAMILY HEALTH NETWORK
Other names
Specialty Mental Health Alviso
Organization subpart
Yes
Provider details
NPI number
Legal business name
GARDNER FAMILY HEALTH NETWORK
Authorized official
CHRISTINA CORNELL (CREDENTIALING SUPERVISOR)
(408) 579-6178
Entity
Organization
Contact information
Practice address
1621 GOLD ST, ALVISO, CA 95002-3530
(408) 935-3900
Mailing address
160 E VIRGINIA ST STE 100, SAN JOSE, CA 95112-5865
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
08/11/2020
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