| San Lorenzo High Health Center | |
|
50 E Lewelling Blvd San Lorenzo CA 94580-1732 | |
| (510) 317-3167 | |
| (510) 535-4189 |
| Full Name | San Lorenzo High Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 50 E Lewelling Blvd, San Lorenzo, California |
| Authorized Official Name and Position | Jane Garcia (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5105354000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Lorenzo High Health Center Po Box 22210 Oakland CA 94623-2210 Ph: (510) 535-4000 | San Lorenzo High Health Center 50 E Lewelling Blvd San Lorenzo CA 94580-1732 Ph: (510) 317-3167 |
| NPI Number | 1316188543 |
|---|---|
| Provider Enumeration Date | 03/18/2009 |
| Last Update Date | 10/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316188543 | NPI | - | NPPES |
| 1316188543 | Other | CA | FPACT |
| 1316188543 | Other | CA | CHDP |
| 1316188543 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 550001118 (California) | Primary |
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Secondary |
Sunrise Care Home Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1447 Via Lucas, San Lorenzo, CA 94580 Phone: 510-481-1300 Fax: 510-276-5888 | |
Alan M Linder Md A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17251 Hesperian Blvd, San Lorenzo, CA 94580 Phone: 510-276-4653 Fax: 510-276-3150 |