Provider Demographics
NPI:1003460635
Name:SANTA CLARA COUNTY HEALTH AUTHORITY
Entity Type:Organization
Organization Name:SANTA CLARA COUNTY HEALTH AUTHORITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, QUALITY AND PROCESS IMPRO
Authorized Official - Prefix:
Authorized Official - First Name:JOHANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:LIU
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:408-874-1874
Mailing Address - Street 1:6201 SAN IGNACIO AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95119-1325
Mailing Address - Country:US
Mailing Address - Phone:408-376-2000
Mailing Address - Fax:408-874-1469
Practice Address - Street 1:6201 SAN IGNACIO AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95119-1325
Practice Address - Country:US
Practice Address - Phone:408-376-2000
Practice Address - Fax:408-874-1469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-31
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization