| Chl | |
|
2880 Zanker Rd Suite 203 San Jose CA 95134-2117 | |
| (408) 354-6783 | |
| (831) 335-2118 |
| Full Name | Chl |
|---|---|
| Speciality | Psychologist |
| Location | 2880 Zanker Rd, San Jose, California |
| Authorized Official Name and Position | Richard F Hill (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4083546783 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chl 2880 Zanker Rd Suite 203 San Jose CA 95134-2117 Ph: (408) 354-6783 | Chl 2880 Zanker Rd Suite 203 San Jose CA 95134-2117 Ph: (408) 354-6783 |
| NPI Number | 1912995143 |
|---|---|
| Provider Enumeration Date | 10/12/2005 |
| Last Update Date | 05/05/2008 |
| Medicare PECOS PAC ID | 4284738840 |
|---|---|
| Medicare Enrollment ID | O20070409000533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912995143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY20326 (California) | Primary |
| Provider Name | Richard F Hill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700993342 PECOS PAC ID: 2365546926 Enrollment ID: I20070409000559 |
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