| NPI | 1477307247 |
|---|---|
| Doing Business As | O' CONNOR MEDICAL CLINIC FOREST #104 |
| 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) |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-04-16 |