| Chabot College | |
|
25555 Hesperian Blvd Rm 2315 Hayward CA 94545-2447 | |
| (510) 471-5907 | |
| Not Available |
| Full Name | Chabot College |
|---|---|
| Speciality | Clinic/Center |
| Location | 25555 Hesperian Blvd Rm 2315, Hayward, California |
| Authorized Official Name and Position | Andrea Schwab-galindo (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5104603855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chabot College 22331 Mission Blvd Hayward CA 94541-3911 Ph: (510) 471-5907 | Chabot College 25555 Hesperian Blvd Rm 2315 Hayward CA 94545-2447 Ph: (510) 471-5907 |
| NPI Number | 1790256808 |
|---|---|
| Provider Enumeration Date | 12/16/2018 |
| Last Update Date | 01/12/2022 |
| Medicare PECOS PAC ID | 6608764709 |
|---|---|
| Medicare Enrollment ID | O20140912000552 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790256808 | NPI | - | NPPES |
| NONE | Other | NONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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