| NPI | 1740662493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR JOSE A MECEDA President & CEO 408-272-3041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| 208D00000X General Practice | |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2023-09-02 |