| NPI | 1548064587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALASDAIR JONATHAN PORTEUS Chief Exceutive Officer 916-550-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-05-13 |