| NPI | 1841285459 |
|---|---|
| Doing Business As | VALLEY HEALTH CENTER AT PUENTES CLINIC |
| Entity Type | Organization |
| Authorized Contact | ALFONSO F BANUELOS Chief Medical Officer 408-885-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 070000085) |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic (Licence: CA 070000085) |
| 261QP2300X Clinic/Center, Primary Care (Licence: CA 070000085) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2020-08-22 |