NPI | 1568174845 |
---|---|
Entity Type | Organization |
Authorized Contact | EDDIE W CHAN President & CEO 415-391-9686 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-12-19 |
Last Update Date | 2022-12-19 |