NPI | 1538181482 |
---|---|
Doing Business As | LA CLINICA MONUMENT |
Entity Type | Organization |
Authorized Contact | JANE GARCIA Chief Executive Officer 510-535-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 140000675) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
291U00000X Clinical Medical Laboratory (Licence: CA 05D1018270) | |
Enumeration Date | 2006-07-23 |
Last Update Date | 2013-01-28 |