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05D0695490 CLIA NUMBER - BAY AREA COMMUNITY HEALTH - MONTEREY CLINIC

Laboratory Demographics

CLIA Number: 05D0695490

Facility Name: BAY AREA COMMUNITY HEALTH - MONTEREY CLINIC

Facility Address:
5504 MONTEREY HWY
SAN JOSE, CA
ZIP 95138
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Facility Phone Number: 510 252-5876

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver
NPI Number: 1043476393

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 05D0695490
LAB Type Federally Qualified Health Center
Facility Name BAY AREA COMMUNITY HEALTH - MONTEREY CLINIC
Street 5504 MONTEREY HWY
City SAN JOSE
State CA
ZIP 95138
Phone 510 252-5876
CertificateType 4
CertificateEffectiveDate 5/22/2023
CertificateExpirationDate 5/21/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024