Provider Demographics
NPI:1801540703
Name:VA PALO ALTO HEALTH CARE SYSTEM
Entity type:Organization
Organization Name:VA PALO ALTO HEALTH CARE SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDCALF
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:650-493-5000
Mailing Address - Street 1:7777 SOUTH FREEDOM ROAD
Mailing Address - Street 2:
Mailing Address - City:FRENCH CAMP
Mailing Address - State:CA
Mailing Address - Zip Code:43029
Mailing Address - Country:US
Mailing Address - Phone:209-946-3400
Mailing Address - Fax:
Practice Address - Street 1:7777 SOUTH FREEDOM ROAD
Practice Address - Street 2:
Practice Address - City:FRENCH CAMP
Practice Address - State:CA
Practice Address - Zip Code:43029
Practice Address - Country:US
Practice Address - Phone:209-946-3400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VA PALO ALTO HEALTH CARE SYSTEM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-02-09
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty