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37469 Glenmoor Dr 37471 Glenmoor Drive Fremont CA 94536-5731 | |
| (510) 713-3200 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 37469 Glenmoor Dr, Fremont, California |
| Authorized Official Name and Position | Joseph B. Locaria (PRESIDENT/CEO) |
| Authorized Official Contact | 5107133204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4510 Peralta Blvd Suite 1 Fremont CA 94536-5755 Ph: (510) 713-3204 | 37469 Glenmoor Dr 37471 Glenmoor Drive Fremont CA 94536-5731 Ph: (510) 713-3200 |
| NPI Number | 1295104818 |
|---|---|
| Provider Enumeration Date | 09/24/2015 |
| Last Update Date | 10/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295104818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 010010BN (California) | Primary |
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