| Healthright 360 | |
|
1340 Tully Rd Suite 301 & 304 San Jose CA 95122-3055 | |
| (408) 271-3900 | |
| (408) 271-3909 |
| Full Name | Healthright 360 |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1340 Tully Rd, San Jose, California |
| Authorized Official Name and Position | Vitka Eisen (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4157621588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthright 360 1563 Mission St, 4th Floor San Francisco CA 94103-2543 Ph: (415) 726-3700 | Healthright 360 1340 Tully Rd Suite 301 & 304 San Jose CA 95122-3055 Ph: (408) 271-3900 |
| NPI Number | 1255409314 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 08/19/2020 |
| Certification Date | 08/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255409314 | NPI | - | NPPES |
| 8395 | Medicaid | CA | |
| 43CS | Medicaid | CA |
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