| NPI | 1992811392 |
|---|---|
| Doing Business As | LA CLINICA VALLEJO |
| Entity Type | Organization |
| Authorized Contact | JANE GARCIA Chief Executive Officer 510-354-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 110000270) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: CA 05D0880562) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2019-10-17 |