| NPI | 1780796540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELVIN QUAN CEO 650-327-1223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA 220000415) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: CA 220000433) |
| 261QC1500X Clinic/Center, Community Health (Licence: CA 550000159) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-07-20 |