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 |