County Of Santa Clara
Clinic/Center, Ambulatory Surgical in San Jose, CA. Organization (NPI-2).
NPI number1194804492
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1194804492
- Entity type
- Organization (NPI-2)
- Legal business name
- County Of Santa Clara
- Organization subpart
- No
- Enumeration date
- Nov 6, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | 070000085 | CA | Yes |
Other names
- Scvmc Ambulatory Surgery Unit (Doing Business As)
Practice location
751 S Bascom AveScvmc Ambulatory Surgery Unit
San Jose, CA 95128-2604
Phone 408-885-5000
Mailing address
Po Box 5280Patient Business Services
San Jose, CA 95150-5280
Phone 408-885-7200
Authorized official
Alfonso F Banuelos
Chief Medical Officer
4088854001
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