CONTRA COSTA COUNTY

NPI # 

Practice Address:

13601 San Pablo Ave

San Pablo, CA, 94806-3818

Practice Phone:

925-957-5429

Practice Fax:

925-957-5401

License Number:

140000090

License State:

CA

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X