| NPI | 1093992844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDIE CHAN President & CEO 415-391-9686 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: CA 550000901) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2010-02-17 |