Sccmhd - Kidscope | |
828 S Bascom Ave Suite 100 And 120 San Jose CA 95128-2651 | |
(408) 793-5959 | |
Not Available |
Full Name | Sccmhd - Kidscope |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 828 S Bascom Ave, San Jose, California |
Authorized Official Name and Position | Nancy Dane Pena (DIRECTOR) |
Authorized Official Contact | 4088855782 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sccmhd - Kidscope 828 S Bascom Ave Suite 200 San Jose CA 95128-2651 Ph: (408) 885-5770 | Sccmhd - Kidscope 828 S Bascom Ave Suite 100 And 120 San Jose CA 95128-2651 Ph: (408) 793-5959 |
NPI Number | 1265558324 |
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Provider Enumeration Date | 03/21/2007 |
Last Update Date | 02/13/2012 |
Identifier | Type | State | Issuer |
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1265558324 | NPI | - | NPPES |
43AP | Other | CA | SDMH PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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