Healthcare Provider Details

I. General information

NPI: 1316481872
Provider Name (Legal Business Name): YOUNG MEN'S CHRISTIAN ASSOCIATION OF SILICON VALLEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2016
Last Update Date: 05/28/2024
Certification Date: 05/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 S WINCHESTER BLVD STE 250
SAN JOSE CA
95128-2526
US

IV. Provider business mailing address

550 S WINCHESTER BLVD STE 250
SAN JOSE CA
95128-2526
US

V. Phone/Fax

Practice location:
  • Phone: 408-351-6400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: JIM HORI
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 408-351-6413