| NPI | 1588601041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXIMILIANO CUEVAS Chief Executive Officer 831-757-8689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 70000335) |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 70000264) |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 70000277) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2022-10-13 |