Provider Demographics
NPI:1376095893
Name:COUNTY OF SANTA CLARA PUBLIC HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:COUNTY OF SANTA CLARA PUBLIC HEALTH DEPARTMENT
Other - Org Name:TB PREVENTION & CONTROL PROGRAM
Other - Org Type:Other Name
Authorized Official - Title/Position:ASSISTANT HEALTH OFFICER/TBCONTROLL
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:408-885-4214
Mailing Address - Street 1:976 LENZEN AVE
Mailing Address - Street 2:SUITE 1700
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-2737
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:976 LENZEN AVE
Practice Address - Street 2:SUITE 1700, SUITE 1800, SUITE 1601
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-2737
Practice Address - Country:US
Practice Address - Phone:408-885-4214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-01
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare