NPI | 1841331402 |
---|---|
Entity Type | Organization |
Authorized Contact | DONG SUH Chief Deputy Of Administration 510-735-3110 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: CA 14000012) |
Enumeration Date | 2007-02-08 |
Last Update Date | 2024-01-23 |