| Gardner South County | |
|
7526 Monterey St Gilroy CA 95020-5826 | |
| (408) 935-3933 | |
| (408) 935-3988 |
| Full Name | Gardner South County |
|---|---|
| Speciality | Clinic/Center |
| Location | 7526 Monterey St, Gilroy, California |
| Authorized Official Name and Position | Ofelia Ruiz (DIRECTOR) |
| Authorized Official Contact | 4089353971 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gardner South County Po Box 1240 Alviso CA 95002-1240 Ph: (408) 935-3933 | Gardner South County 7526 Monterey St Gilroy CA 95020-5826 Ph: (408) 935-3933 |
| NPI Number | 1144358748 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 05/04/2023 |
| Certification Date | 05/04/2023 |
| Medicare PECOS PAC ID | 5890859375 |
|---|---|
| Medicare Enrollment ID | O20090128000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144358748 | NPI | - | NPPES |
| FHC70872F | Medicaid | CA | |
| HAP70872F | Other | CA | SOFPGIL |
| BCP707872F | Other | CA | BCEDPGIL |
| EAP707872F | Other | CA | EAPCGIL |
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