| Slz Usd Arroyo High School | |
|
15701 Lorenzo Ave San Lorenzo CA 94580-1407 | |
| (510) 317-4000 | |
| Not Available |
| Full Name | Slz Usd Arroyo High School |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 15701 Lorenzo Ave, San Lorenzo, California |
| Authorized Official Name and Position | Sandy Hobson (QUALITY ASSURANCE DIRECTOR) |
| Authorized Official Contact | 5107255727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Slz Usd Arroyo High School 15942 Foothill Blvd San Leandro CA 94578-2102 Ph: (510) 317-1446 | Slz Usd Arroyo High School 15701 Lorenzo Ave San Lorenzo CA 94580-1407 Ph: (510) 317-4000 |
| NPI Number | 1902344310 |
|---|---|
| Provider Enumeration Date | 02/06/2017 |
| Last Update Date | 03/03/2020 |
| Certification Date | 03/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902344310 | NPI | - | NPPES |
| 0015 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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