NPI 1104094770

Santa Clara County Drug & Alcohol

Organisation Health Maintenance Organization San Jose, CA

Practice location

Address: 2425 Enborg Lane, San Jose, CA 95128
Phone: (408) 885-3406

Authorised official

Name: Frank William Barker
Title: Counselor
Phone: (408) 885-3406

Registered specialties (3)

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

Other Health Maintenance Organization providers in California →

Point of Service

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in California →

Point of Service

Managed Care Organizations Taxonomy 305S00000X Licence N4342331 (CA)

Registry record

NPI: 1104094770
Entity type: Organization
NPI issued: 15 Feb 2008
Record last updated: 15 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.