| NPI | 1891424099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYCHI THI NGUYEN Cmo 510-735-3100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2022-06-06 |