NPI | 1144407784 |
---|---|
Doing Business As | VHC AT BASCOM HAP |
Entity Type | Organization |
Authorized Contact | PAUL E LORENZ Chief Executive Officer 408-885-4010 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 070000085) |
Enumeration Date | 2008-01-25 |
Last Update Date | 2023-10-11 |