| NPI | 1679600423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONG SUH Chief Deputy Of Administration 510-735-3110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 14000012) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2022-04-07 |