| NPI | 1063063600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALASDAIR JONATHAN PORTEUS PHD Chief Executive Officer 916-313-9413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |