| Gardner Family Care | |
|
160 E Virginia St #280 San Jose CA 95112-5857 | |
| (408) 287-6200 | |
| (408) 998-1535 |
| Full Name | Gardner Family Care |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 160 E Virginia St, San Jose, California |
| Authorized Official Name and Position | Cecily Zazueta (QI COORDINATOR) |
| Authorized Official Contact | 4082876200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gardner Family Care 160 E Virginia St #280 San Jose CA 95112-5857 Ph: (408) 287-6200 | Gardner Family Care 160 E Virginia St #280 San Jose CA 95112-5857 Ph: (408) 287-6200 |
| NPI Number | 1740445477 |
|---|---|
| Provider Enumeration Date | 07/22/2008 |
| Last Update Date | 07/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740445477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 52986 (California) | Primary |
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