| NPI | 1689620478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE KLEINHEINZ CEO 408-284-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service (Licence: CA 070000696) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2018-04-11 |