| Valley Health Center Lundy | |
|
1996 Lundy Ave San Jose CA 95131-1831 | |
| (408) 885-5000 | |
| Not Available |
| Full Name | Valley Health Center Lundy |
|---|---|
| Speciality | Clinic/Center |
| Location | 1996 Lundy Ave, 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 |
|---|---|
| Valley Health Center Lundy Po Box 103331 Pasadena CA 91189-3331 Ph: (669) 299-8165 | Valley Health Center Lundy 1996 Lundy Ave San Jose CA 95131-1831 Ph: (408) 885-5000 |
| NPI Number | 1043354020 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 10/11/2023 |
| Medicare PECOS PAC ID | 1254244973 |
|---|---|
| Medicare Enrollment ID | O20071119000713 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043354020 | NPI | - | NPPES |
| CG5995 | Other | CA | RR MEDICARE |
| EXE70053F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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