| NPI | 1750656427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALMA OLAGUER Billing Manager 510-986-6830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 140000125) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-15 |