| Mission San Jose High | |
|
41717 Palm Ave Fremont CA 94539-4722 | |
| (510) 657-3600 | |
| Not Available |
| Full Name | Mission San Jose High |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 41717 Palm Ave, Fremont, California |
| Authorized Official Name and Position | Annie Bailey (ADMINISTRATOR) |
| Authorized Official Contact | 5105472100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mission San Jose High Po Box 5006 Fremont CA 94537-5006 Ph: (510) 547-2100 | Mission San Jose High 41717 Palm Ave Fremont CA 94539-4722 Ph: (510) 657-3600 |
| NPI Number | 1801277223 |
|---|---|
| Provider Enumeration Date | 06/11/2015 |
| Last Update Date | 08/24/2020 |
| Certification Date | 08/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801277223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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