| |
795 Willow Rd Bldg 334 Menlo Park CA 94025-2539 | |
(650) 599-3890 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 795 Willow Rd, Menlo Park, California |
Authorized Official Name and Position | Kris Rozzi (REIMBURSEMENT) |
Authorized Official Contact | 6505732120 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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222 W 39th Ave San Mateo CA 94403-4364 Ph: (650) 573-2222 | 795 Willow Rd Bldg 334 Menlo Park CA 94025-2539 Ph: (650) 599-3890 |
NPI Number | 1023197944 |
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Provider Enumeration Date | 11/02/2006 |
Last Update Date | 06/26/2008 |
Identifier | Type | State | Issuer |
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1023197944 | NPI | - | NPPES |
FHC70035F | Other | CA | FQHC |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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