| |
1080 Emeline Ave Santa Cruz CA 95060-1966 | |
(831) 454-4000 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 1080 Emeline Ave, Santa Cruz, California |
Authorized Official Name and Position | Giang Nguyen (DIRECTOR OF HEALTH SERVICES AGENCY) |
Authorized Official Contact | 8314544000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1080 Emeline Ave Santa Cruz CA 95060-1966 Ph: (831) 454-4000 | 1080 Emeline Ave Santa Cruz CA 95060-1966 Ph: (831) 454-4000 |
NPI Number | 1659810513 |
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Provider Enumeration Date | 02/13/2017 |
Last Update Date | 02/13/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659810513 | NPI | - | NPPES |
1659315430 | Other | CA | LEGAL ENTITY NUMBER |
ZZZ91892Z | Other | CA | SANTA CRUZ COUNTY, CA MEDICARE GROUP PTAN# |
FHC70042F | Other | CA | SANTA CRUZ COUNTY, CA MEDI-CAL GROUP ID# |
FHC70044F | Other | CA | SANTA CRUZ COUNTY, CA MEDI-CAL GROUP ID# |
ZZZ92069Z | Other | CA | SANTA CRUZ COUNTY, CA MEDICARE GROUP PTAN# |
ZZZ91891Z | Other | CA | SANTA CRUZ COUNTY, CA MEDICARE GROUP PTAN# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (California) | Primary |
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