NPI | 1497310593 |
---|---|
Doing Business As | KAISER FONTANA |
Entity Type | Organization |
Authorized Contact | LORENA LOPEZ Provider Relations Supervisor 510-337-7950 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-05-03 |
Last Update Date | 2023-03-06 |