Healthcare Provider Details

I. General information

NPI: 1730355975
Provider Name (Legal Business Name): EMQ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2008
Last Update Date: 05/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37720 FREMONT BLVD
FREMONT CA
94536-5025
US

IV. Provider business mailing address

251 LLEWELLYN AVE
CAMPBELL CA
95008-1940
US

V. Phone/Fax

Practice location:
  • Phone: 510-797-2072
  • Fax: 510-505-0390
Mailing address:
  • Phone: 408-379-3790
  • Fax: 408-364-4013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. BELINDA M SALINAS
Title or Position: HR GENERALIST
Credential:
Phone: 408-628-5504