| NPI | 1336733138 |
|---|---|
| Doing Business As | MEDICAL CLINIC AT SOUTH 2ND STREET |
| Entity Type | Organization |
| Authorized Contact | PAUL E LORENZ Chief Executive Officer 408-885-4010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2021-02-23 |