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NPI Code Detail

MEDICARE: UNIVERSITY HEALTHCARE ALLIANCE

MEDICARE: UNIVERSITY HEALTHCARE ALLIANCE
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
12085U0001XDiagnostic Ultrasound Physician
22085R0202XDiagnostic Radiology Physician

General Provider Information

NPI Number : 1821500356
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSITY HEALTHCARE ALLIANCE
Provider Business Mailing Address
First Line : PO BOX 742244
Second Line :
City : LOS ANGELES
State : CA
Zip : 90074-2244
Country : US
Telephone Number : 510-974-8258
Fax Number : 510-974-8322
Provider Business Practice Location Address
First Line : 798 S WINCHESTER BLVD
Second Line :
City : SAN JOSE
State : CA
Zip : 95128-2928
Country : US
Telephone Number : 408-984-7226
Fax Number : 408-984-7225
Authorized Official
Title or Position : DIRECTOR OF REIMBURSEMENT
Name : KRISTINE RUSLEN
Credential :
Telephone Number : 510-974-8297
Provider Enumeration Date : 10/24/2017
Last Update Date : 10/24/2017

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Directions to “UNIVERSITY HEALTHCARE ALLIANCE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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