| NPI | 1548551997 |
|---|---|
| Doing Business As | HIGHLAND OUTPATIENT CLINIC |
| Entity Type | Organization |
| Authorized Contact | KIM MIRANDA CFO 510-618-2147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA Exempt under 12-35b) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2022-04-27 |