| Organization Name: | SOUTH COUNTY COMMUNITY HEALTH CENTER, INC. |
| NPI Number: | 1184957771 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LUISA M. BUADA (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 1807 Bay Road East Palo Alto |
| State: | CA US |
| Postal Code: | 943031312 |
| Phone Number: | 6503307407 |
| Fax Number: | 6503211560 |
| NPI Enumeration Date: | 09/14/2009 |
| NPI Last Update Date: | 08/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | APPLIED FOR |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |