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NPI Code Detail

MEDICARE: COUNTY OF SANTA CLARA

MEDICARE: COUNTY OF SANTA CLARA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1437269917
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF SANTA CLARA
Provider Business Mailing Address
First Line : 828 S BASCOM AVE STE 200
Second Line :
City : SAN JOSE
State : CA
Zip : 95128-2600
Country : US
Telephone Number : 408-885-5770
Fax Number : 408-885-5788
Provider Business Practice Location Address
First Line : 1650 LAS PLUMAS AVE STE K
Second Line :
City : SAN JOSE
State : CA
Zip : 95133-1657
Country : US
Telephone Number : 408-272-6726
Fax Number : 408-259-0865
Authorized Official
Title or Position : DIR, BEHAVIORAL HEALTH SVCS
Name : SHERRI TERAO
Credential :
Telephone Number : 408-885-5776
Provider Enumeration Date : 08/30/2006
Last Update Date : 11/21/2024

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Directions to “COUNTY OF SANTA CLARA ” Practice Location

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