Provider Demographics
NPI:1801208848
Name:GUADALUPE HOPE SOCIETY
Entity Type:Organization
Organization Name:GUADALUPE HOPE SOCIETY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:O'NEILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-583-0522
Mailing Address - Street 1:1900 THE ALAMEDA
Mailing Address - Street 2:SUITE 630
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-1404
Mailing Address - Country:US
Mailing Address - Phone:408-609-3373
Mailing Address - Fax:408-609-3383
Practice Address - Street 1:1900 THE ALAMEDA
Practice Address - Street 2:SUITE 630
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-1404
Practice Address - Country:US
Practice Address - Phone:408-609-3373
Practice Address - Fax:408-609-3383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-27
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center