| NPI | 1659459865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY GONG Chief Financial Officer 510-986-6830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: CA 140000125) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2011-11-10 |