| 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 |