Organization · Type 2 NPI
South County Community Health Center, Inc.
Dental Clinic/Center · East Palo Alto, CA
NPI number
1184957771
Active
Practice location
1807 Bay Road
East Palo Alto, CA 94303-1312
Fax (650) 321-1560
Mailing address
1885 Bay Rd
East Palo Alto, CA 94303-1312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | APPLIED FOR (CA) |
| Federally Qualified Health Center (FQHC) | 261QF0400X | APPLIED FOR (CA) |
Dental Clinic/Center: Definition to come...
About NPI 1184957771
South County Community Health Center, Inc.'s National Provider Identifier is 1184957771, issued on Sep 14, 2009. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in East Palo Alto, CA. The record was last updated on Aug 31, 2015.