| NPI | 1811928849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAGAT SHETH CEO 510-252-5808 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 140000586) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-07-15 |