| NPI | 1912076662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS ROZZI Reimbursement 650-573-2120 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2008-08-26 |