Bay Area Community Health
Clinic/Center, Federally Qualified Health Center (FQHC) in San Jose, CA. Organization (NPI-2).
NPI number1164044343
StatusActive
Last updated in NPPESMay 7, 2021
Details
- NPI
- 1164044343
- Entity type
- Organization (NPI-2)
- Legal business name
- Bay Area Community Health
- Organization subpart
- Yes
- Enumeration date
- May 11, 2020
- Certification date
- May 7, 2021
- Last updated
- May 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Aborn Dental Clinic (Doing Business As)
Practice location
2060 Aborn Rd Ste 125San Jose, CA 95121-1586
Phone 408-729-9700
Mailing address
40910 Fremont BlvdFremont, CA 94538-4375
Phone 510-770-8040
Authorized official
Jagat Sheth
Chief Financial Officer
5102526810
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