| NPI | 1730363151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VITKA EISEN President & CEO 415-762-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QP2300X Clinic/Center Primary Care (Licence: CA 550000486) | |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2019-02-28 |