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NPI 1104014935

OrganizationActive

County of Santa Clara

NPI 1104014935 · Allergy Physician · San Jose, CA

Provider details

NPI number: 1104014935
Entity type: Organization
Primary specialty: Allergy PhysicianAllopathic & Osteopathic Physicians
Parent organization: County of Santa Clara
Authorized official: Alfonso Banuelos, Chief Medical Officer

Practice location

751 S Bascom Ave

Physician Services

San Jose, CA 95128-2604

Phone: (408) 885-5000

More CA providers

Mailing address

Po Box 5730

San Jose, CA 95150-5730

Registry dates

Enumerated: 2007-10-05
Last updated: 2007-10-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

County of Santa Clara — NPI 1104014935, San Jose, CA | NPI Central