NPI | 1295203669 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE LEE Chief Medical Officer 510-735-3100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-11-05 |
Last Update Date | 2018-11-05 |