| NPI | 1801887716 |
|---|---|
| Other Name | SAN ANDREAS CLINIC |
| Entity Type | Organization |
| Authorized Contact | PAUL B WANDEL CFO 209-944-4710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 030000419) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2020-08-22 |