| Seneca Family Of Agencies King City Outpatient Clinic | |
|
200 Broadway Street Suite 84 King City CA 93930 | |
| (510) 760-6611 | |
| Not Available |
| Full Name | Seneca Family Of Agencies King City Outpatient Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 200 Broadway Street, King City, California |
| Authorized Official Name and Position | Scott Osborn (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 5105200943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seneca Family Of Agencies King City Outpatient Clinic 8945 Golf Links Rd. Oakland CA 94605 Ph: (510) 317-1444 | Seneca Family Of Agencies King City Outpatient Clinic 200 Broadway Street Suite 84 King City CA 93930 Ph: (510) 760-6611 |
| NPI Number | 1174948996 |
|---|---|
| Provider Enumeration Date | 03/03/2014 |
| Last Update Date | 10/23/2024 |
| Certification Date | 10/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174948996 | NPI | - | NPPES |
| 0015 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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