San Mateo Medical Center - Willow Clinic

LBN: San Mateo County
San Mateo Medical Center - Willow Clinic is an health care organization with primary practice located at 795 Willow Rd Bldg 332, Menlo Park CA 94025-2539. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. San Mateo County can be contacted via phone (650) 578-7190, or through Davila, Judith via phone (650) 802-5057.

Contact Information

Primary practice address
795 Willow Rd Bldg 332 Menlo Park CA 94025-2539
Phone: (650) 578-7190
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davila, Judith
Phone: (650) 802-5057

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X

Profile Details

NPI number 1104978840
LBN Legal business name San Mateo County
DBA Doing business as San Mateo Medical Center - Willow Clinic
Authorized official Davila, Judith
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104978840 NPPES
California Other 4191 PROVIDER NUMBER

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