| NPI | 1023682952 |
|---|---|
| Doing Business As | MEDICAL CLINIC AT SOUTH 2ND STREET HAP |
| Entity Type | Organization |
| Authorized Contact | PAUL E LORENZ Chief Executive Officer 408-885-4010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0050X Clinic/Center, Family Planning, Non-Surgical |
| Enumeration Date | 2021-05-15 |
| Last Update Date | 2022-09-15 |