| NPI | 1851522015 |
|---|---|
| Doing Business As | ROOSEVELT HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JANE GARCIA Chief Executive Officer 510-535-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550000036) |
| Additional Taxonomies | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2019-10-17 |