| NPI | 1871848523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALINDA A. MANDREZA Owner 408-274-2880 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA C043151) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2015-07-08 |