| NPI | 1508488784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAGAT SHETH Chief Financial Officer 510-252-6810 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-07-16 |