| Mar Monte Community Clinic | |
|
2470 Alvin Ave Suite 60 San Jose CA 95121-1664 | |
| (408) 274-7100 | |
| (408) 274-8763 |
| Full Name | Mar Monte Community Clinic |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 2470 Alvin Ave, San Jose, California |
| Authorized Official Name and Position | Rayroz Dodson-crawford (CFO) |
| Authorized Official Contact | 4087953607 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mar Monte Community Clinic 1691 The Alameda San Jose CA 95126-2203 Ph: (408) 795-3600 | Mar Monte Community Clinic 2470 Alvin Ave Suite 60 San Jose CA 95121-1664 Ph: (408) 274-7100 |
| NPI Number | 1700830296 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 03/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700830296 | NPI | - | NPPES |
| ZZR11665F | Medicaid | CA | |
| HAP11665F | Medicaid | CA | |
| BCP11665F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 070000036 (California) | Primary |
Chris Chung, MD, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 455 Oconnor Dr, #150, San Jose, CA 95128 Phone: 408-293-7767 Fax: 408-294-6595 |
Tuan Le, M.D. a Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1569 Lexann Ave, Suite 122, San Jose, CA 95121 Phone: 408-531-1555 |
Everwell Diagnostics LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 458 Boynton Ave Apt A2, San Jose, CA 95117 Phone: 307-207-3695 Fax: 307-207-3695 |
Frank D. Shin, MD, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1440 S De Anza Blvd, Suite A, San Jose, CA 95129 Phone: 408-366-0405 |
Verity Medical Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 227 N Jackson Ave, San Jose, CA 95116 Phone: 408-278-3000 |
Leena Gupta MD Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4945 Bridgeview Ln, San Jose, CA 95138 Phone: 408-666-0392 |