| NPI | 1730388943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILIANA CUADROS Accounting Clerk Iii 831-763-3414 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 070000178) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2017-10-30 |