| NPI | 1699584169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINA MONTEROLA Controller 510-252-6804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2024-12-30 |