Santa Clara County | |
2101 Alexian Dr Ste 110 San Jose CA 95116-1901 | |
(408) 687-2583 | |
Not Available |
Full Name | Santa Clara County |
---|---|
Speciality | Social Worker - Clinical |
Location | 2101 Alexian Dr Ste 110, San Jose, California |
Authorized Official Name and Position | Monique Grijalva (SENIOR HEALTH REPRESENTATIVE) |
Authorized Official Contact | 4082626588 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Santa Clara County 2101 Alexian Dr Ste 110 San Jose CA 95116-1901 Ph: (408) 687-2583 | Santa Clara County 2101 Alexian Dr Ste 110 San Jose CA 95116-1901 Ph: (408) 687-2583 |
NPI Number | 1972235257 |
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Provider Enumeration Date | 06/27/2022 |
Last Update Date | 06/27/2022 |
Certification Date | 06/27/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972235257 | NPI | - | NPPES |
ASW94680 | Other | CA | BBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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