NPI | 1568556363 |
---|---|
Doing Business As | LYON MARTIN HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | VITKA EISEN Chief Executive Director 415-762-3700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 220000121) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2017-11-15 |