| NPI | 1104959089 |
|---|---|
| Doing Business As | EASTMONT WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | KIM MIRANDA CFO 510-618-2147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA EXEMPT UNDER 12-35B) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2023-07-05 |