Organization
COUNTY OF SANTA CLARA
Active
Parent organization
COUNTY OF SANTA CLARA
Other names
SCVMC Renal Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF SANTA CLARA
Authorized official
PAUL E LORENZ (CHIEF EXECUTIVE OFFICER)
(408) 885-4010
Entity
Organization
Contact information
Practice address
2220 MOORPARK AVE, SCVMC RENAL CARE CENTER, SAN JOSE, CA 95128-2613
(408) 885-5000
Mailing address
PO BOX 103331, PASADENA, CA 91189-3331
(669) 299-8165
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
070000085
CA
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
070000085
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG5995
RR MEDICARE
CA
05
—
HSP40038F
—
CA
Enumeration date
11/24/2006
Last updated
10/11/2023
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