| NPI | 1780471185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYAN WAQA Executive Director 510-322-7737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 163WC0400X Registered Nurse, Case Management | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 208D00000X General Practice | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2025-04-21 |