| NPI | 1669922753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALVADOR CHAVARIN CEO 408-729-4290 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2018-03-08 |