| Hope Clinic | |
|
725 E Santa Clara St Ste 300 San Jose CA 95112-1938 | |
| (408) 885-5000 | |
| Not Available |
| Full Name | Hope Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 725 E Santa Clara St Ste 300, San Jose, California |
| Authorized Official Name and Position | Paul E Lorenz (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4088854010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Clinic Po Box 103331 Pasadena CA 91189-3331 Ph: (669) 299-8165 | Hope Clinic 725 E Santa Clara St Ste 300 San Jose CA 95112-1938 Ph: (408) 885-5000 |
| NPI Number | 1154034882 |
|---|---|
| Provider Enumeration Date | 12/27/2022 |
| Last Update Date | 10/13/2023 |
| Medicare PECOS PAC ID | 1254244973 |
|---|---|
| Medicare Enrollment ID | O20230629001698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154034882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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