Organization · Type 2 NPI

Indian Health Center of Santa Clara Valley

Federally Qualified Health Center (FQHC) · San Jose, CA

NPI number 1629462312 Active

Practice location

2039 Forest Ave Ste 105
San Jose, CA 95128-4815

Call (408) 445-3400 Map

Mailing address

1333 Meridian Ave
San Jose, CA 95125-5212

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400X70000482 (CA)

Federally Qualified Health Center (FQHC): Definition to come...

3 other providers at this address

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About NPI 1629462312

Indian Health Center of Santa Clara Valley's National Provider Identifier is 1629462312, issued on Mar 20, 2015. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in San Jose, CA. The record was last updated on Apr 1, 2015.