NPI | 1861731523 |
---|---|
Entity Type | Organization |
Authorized Contact | TOM MOTSIFF CFO 408-795-3707 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: CA 550002330) |
Enumeration Date | 2013-01-31 |
Last Update Date | 2019-07-25 |