| NPI | 1780054379 |
|---|---|
| Doing Business As | SAN JOSE BACH FAMILY COMMUNITY CLINIC, INC |
| Entity Type | Organization |
| Authorized Contact | ZETTIE D PAGE CEO 510-623-8926 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2022-02-02 |