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Provider Information for 1093712374

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

EL CAMINO HOSPITAL

Other Name:   Doing Business As: EL CAMINO HEALTH
Organization Subpart: NO

Organization NPI: 1093712374

Calendar   Last Updated:  2021-06-30
  Certification Date:  2021-06-30

Details

Name Value
NPI 1093712374
Enumeration Date 2005-07-01
NPI Type 2- Organization
Status Active
Authorized Official Information Name: MING-RONG CHEN WOO
Title: DIRECTOR OF REVENUE & REIMBURSEMENT
Phone: 650-940-7247
Mailing Address 2500 GRANT RD
MOUNTAIN VIEW, CA 94040-4302
United States

Phone: 650-940-7000 | Fax:
View Map External Link
Primary Practice Address 2500 GRANT RD
MOUNTAIN VIEW, CA 94040-4302
United States

Phone: 650-940-7000 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID CA HSP30308H
MEDICAID CA HSC30308H
MEDICAID CA CDC02659G
MEDICAID CA HSP40308H
Other BLUE SHIELD CA ZZZA43042
MEDICAID CO LTC55593F
MEDICAID CA PBH345400
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 282N00000X - General Acute Care Hospital CA 070000660