| NPI | 1962739946 |
|---|---|
| Doing Business As | LA CLINICA NORTH VALLEJO |
| Entity Type | Organization |
| Authorized Contact | JANE GARCIA Chief Executive Officer 510-535-4000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550000903) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2009-12-07 |