San Jose Bach Family Community Clinic, Inc | |
2880 Story Rd Ste 10 San Jose CA 95127-3942 | |
(408) 729-9700 | |
Not Available |
Full Name | San Jose Bach Family Community Clinic, Inc |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 2880 Story Rd Ste 10, San Jose, California |
Authorized Official Name and Position | Jagat Sheth (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 5102526810 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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San Jose Bach Family Community Clinic, Inc 40910 Fremont Blvd Fremont CA 94538-4375 Ph: (510) 770-8040 | San Jose Bach Family Community Clinic, Inc 2880 Story Rd Ste 10 San Jose CA 95127-3942 Ph: (408) 729-9700 |
NPI Number | 1720600760 |
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Provider Enumeration Date | 05/13/2020 |
Last Update Date | 05/07/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720600760 | NPI | - | NPPES |
1063658029 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Chris Chung, Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 455 Oconnor Dr, #150, San Jose, CA 95128 Phone: 408-293-7767 Fax: 408-294-6595 | |
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