| NPI | 1669870952 |
|---|---|
| Doing Business As | HPSM RAVENSWOOD FQHC |
| Entity Type | Organization |
| Authorized Contact | SCOTT GILMAN Executive Director 650-573-2748 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2020-03-12 |