| Proyecto Primavera | |
|
160 E Virginia St Ste 264 San Jose CA 95112-5848 | |
| (408) 977-1591 | |
| (408) 998-1535 |
| Full Name | Proyecto Primavera |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 160 E Virginia St Ste 264, San Jose, California |
| Authorized Official Name and Position | Laura Perez (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 4089382113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proyecto Primavera 160 E Virginia St Ste 100 San Jose CA 95112-5865 Ph: (408) 938-2113 | Proyecto Primavera 160 E Virginia St Ste 264 San Jose CA 95112-5848 Ph: (408) 977-1591 |
| NPI Number | 1063685311 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 07/07/2023 |
| Certification Date | 07/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063685311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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