| NPI | 1992742076 |
|---|---|
| Doing Business As | MEDICAL MOBILE UNIT-VHHP |
| Entity Type | Organization |
| Authorized Contact | ALFONSO F BANUELOS Chief Medical Officer 408-885-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 070000085) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: CA 070000085) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-08-22 |