| NPI | 1790961407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY GONG CFO 510-986-6830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 140000125) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-01-11 |