South County Community Health Center, Inc
South County Community Health Center, Inc is a Dental Clinic/Center in East Palo Alto, California. Licensed in California. Registered with an NPI since 2009.
- Licensed in
- CA
- In the registry since
- 2009
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1807 Bay RdEast Palo Alto, CA 94303-1312
Phone: (650) 330-7407
Fax: (650) 321-1560
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence APPLIED FOR (CA) |
|---|---|
| Federally Qualified Health Center (FQHC) | Taxonomy 261QF0400X · Licence APPLIED FOR (CA) |
Record details
| NPI number | 1184957771 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Luisa Buada — Chief Executive Officer · (650) 330-7410 |
| Other names | Ravenswood Family Dentistry |
| NPI enumerated | September 14, 2009 |
| Last updated in NPPES | August 31, 2015 |
| Mailing address | 1885 Bay Rd, East Palo Alto, CA 94303-1312 |