| NPI | 1548704471 |
|---|---|
| Former Legal Business Name | SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | SALVADOR CHAVARIN CEO 408-729-4290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |