NPI | 1346262292 |
---|---|
Entity Type | Organization |
Authorized Contact | JANE GARCIA Chief Executive Officer 510-535-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: CA 140000670) |
Additional Taxonomies | 261QD0000X Clinic/Center Dental |
Enumeration Date | 2006-07-23 |
Last Update Date | 2019-02-06 |