Gunderson High School | |
622 Gaundabert Ln San Jose CA 95136-2830 | |
(408) 287-6200 | |
Not Available |
Full Name | Gunderson High School |
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Speciality | Community/behavioral Health |
Location | 622 Gaundabert Ln, San Jose, California |
Authorized Official Name and Position | Loren Gissible (PROGRAM COORDINATOR) |
Authorized Official Contact | 4082876200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gunderson High School 160 E Virginia St Ste 280 San Jose CA 95112-5817 Ph: (408) 287-6200 | Gunderson High School 622 Gaundabert Ln San Jose CA 95136-2830 Ph: (408) 287-6200 |
NPI Number | 1336596303 |
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Provider Enumeration Date | 05/19/2016 |
Last Update Date | 05/19/2016 |
Identifier | Type | State | Issuer |
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1336596303 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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