| La Familia | |
|
16160 Ashland Ave San Lorenzo CA 94580-1116 | |
| (510) 300-3500 | |
| Not Available |
| Full Name | La Familia |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 16160 Ashland Ave, San Lorenzo, California |
| Authorized Official Name and Position | Virginia Elizabeth Salvatier (ADMINISTRATOR AND OPERATIONS MANAGE) |
| Authorized Official Contact | 5103003516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Familia 24301 Southland Dr Ste 300 Hayward CA 94545-1546 Ph: (510) 300-3500 | La Familia 16160 Ashland Ave San Lorenzo CA 94580-1116 Ph: (510) 300-3500 |
| NPI Number | 1053800433 |
|---|---|
| Provider Enumeration Date | 05/01/2018 |
| Last Update Date | 11/10/2021 |
| Certification Date | 11/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053800433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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