NPI: 1487165544
Provider Name: SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.
Other Name: FOOTHILL HEALTH CENTER, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization
Specialization: Federally Qualified Health Center (FQHC)
Address:
2060 ABORN RD STE 125
SAN JOSE, CA
ZIP 95121
Phone: (408) 729-4090
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SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC. is a federally qualified health center (fqhc) clinic center in San Jose, CA. SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC. NPI is 1487165544. The provider is registered as an organization entity type.
The provider Other Name Is Foothill Health Center, Inc..
The provider's business location address is:
2060 ABORN RD STE 125
SAN JOSE, CA
ZIP 95121-586
Phone: (408) 729-4090
Fax: (866) 931-7822
The provider's authorized official is Salvador Chavarin .
The authorized official title is Chief Executive Officer and has the following contact phone number (408) 729-4290.
The enumeration date for this NPI number is 10/17/2017 and was last updated on 3/9/2018.