COUNTY OF SANTA CLARA

NPI # 

Practice Address:

750 S. Bascom Ave

San Jose, CA, 95128-2603

Practice Phone:

408-885-5000

License Number:

070000085

License State:

CA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X