Vhc At Moorpark Bcp | |
2400 Moorpark Ave San Jose CA 95128-2631 | |
(408) 885-5000 | |
Not Available |
Full Name | Vhc At Moorpark Bcp |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 2400 Moorpark Ave, San Jose, California |
Authorized Official Name and Position | Paul E Lorenz (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 4088854010 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vhc At Moorpark Bcp Po Box 103331 Pasadena CA 91189-3331 Ph: (669) 299-8165 | Vhc At Moorpark Bcp 2400 Moorpark Ave San Jose CA 95128-2631 Ph: (408) 885-5000 |
NPI Number | 1982881512 |
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Provider Enumeration Date | 01/25/2008 |
Last Update Date | 10/13/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982881512 | NPI | - | NPPES |
BCP70534F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 070000085 (California) | Primary |
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