| NPI | 1447645296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL E LORENZ Chief Executive Officer 408-885-4004 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: CA 070000085) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 261QU0200X Clinic/Center Urgent Care | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2025-06-04 |