| NPI | 1780606632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE GARCIA Chief Executive Officer 510-535-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Additional Taxonomies | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-08-22 |