| Veterans Affairs Palo Alto | |
|
3801 Miranda Ave Palo Alto CA 94304-1207 | |
| (650) 493-5000 | |
| Not Available |
| Full Name | Veterans Affairs Palo Alto |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3801 Miranda Ave, Palo Alto, California |
| Authorized Official Name and Position | David Ray Renfro (NURSE MANAGER/CLINICAL COORDINATOR) |
| Authorized Official Contact | 6504935000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Veterans Affairs Palo Alto 34495 Shenandoah Pl Fremont CA 94555-3306 Ph: (650) 493-5000 | Veterans Affairs Palo Alto 3801 Miranda Ave Palo Alto CA 94304-1207 Ph: (650) 493-5000 |
| NPI Number | 1518068550 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518068550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 504790 (California) | Primary |
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