| NPI | 1023159811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXIMILIANO CUEVAS CEO 831-757-8689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 070000159) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2024-06-06 |