NPI | 1497948095 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDY GONG CFO 510-986-6830 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 140000125) |
Enumeration Date | 2007-08-27 |
Last Update Date | 2007-08-27 |