| NPI | 1962876417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXIMILLIANO CUEVAS CEO/Md 831-757-8689 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2024-06-06 |