NPI | 1720405491 |
---|---|
Other Name | SAN LEANDRO MOBILE VAN |
Entity Type | Organization |
Authorized Contact | ANDREA SCHWAB-GALINDO Chief Executive Officer 510-460-3855 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
261QC1500X Clinic/Center, Community Health | |
Enumeration Date | 2014-03-19 |
Last Update Date | 2022-04-04 |