NPI | 1720600760 |
---|---|
Doing Business As | SAN JOSE BACH FAMILY COMMUNITY CLINIC, INC |
Entity Type | Organization |
Authorized Contact | JAGAT SHETH Chief Financial Officer 510-252-6810 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2020-05-13 |
Last Update Date | 2021-05-07 |