| NPI | 1851389696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA SCHWAB-GALINDO Chief Executive Officer 510-460-3855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 140000137) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: CA 140000705) |
| 261Q00000X Clinic/Center (Licence: CA 140000504) | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2021-12-06 |