Willow Glen Middle School | |
2105 Cottle Ave San Jose CA 95125-3504 | |
(408) 287-6200 | |
Not Available |
Full Name | Willow Glen Middle School |
---|---|
Speciality | Community/behavioral Health |
Location | 2105 Cottle Ave, San Jose, California |
Authorized Official Name and Position | Raymundo Espinoza (CEO) |
Authorized Official Contact | 4082876200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Willow Glen Middle School 160 E Virginia St Ste 280 San Jose CA 95112-5817 Ph: (408) 287-6200 | Willow Glen Middle School 2105 Cottle Ave San Jose CA 95125-3504 Ph: (408) 287-6200 |
NPI Number | 1043667074 |
---|---|
Provider Enumeration Date | 05/19/2016 |
Last Update Date | 05/19/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043667074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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