| NPI | 1083381933 |
|---|---|
| Other Name | SAN LEANDRO MOBILE VAN |
| Entity Type | Organization |
| Authorized Contact | ANDREA SCHWAB-GALINDO Chief Executive Officer 510-460-3855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2021-12-06 |