NPI | 1992863096 |
---|---|
Doing Business As | LA CLINICA VALLEJO GREAT BEGINNINGS |
Entity Type | Organization |
Authorized Contact | JANE GARCIA Chief Executive Officer 510-535-2915 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550000257) |
Additional Taxonomies | 261QF0050X Clinic/Center, Family Planning, Non-Surgical |
291U00000X Clinical Medical Laboratory (Licence: CA 05D1057049) | |
Enumeration Date | 2006-12-04 |
Last Update Date | 2019-10-17 |