REYNALDA RETANA ALARCON


Address: 2097 Main St, Santa Clara, CA 95050-3850
Phone: 4084699830

REYNALDA RETANA ALARCON (NPI# 1801404264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801404264
Entity Type Individual
Full Name REYNALDA RETANA ALARCON
Practice Address 2097 Main St
Santa Clara
CA 95050-3850
Practice Telephone 4084699830
Enumeration Date 2020-07-21
Last Update Date 2020-07-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities
N 172V00000X Community Health Worker Other Service Providers

Office Location

Street Address 2097 MAIN ST
City SANTA CLARA
State CA
Zip Code 95050-3850

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City SANTA CLARA
Zip Code 95050

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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