Organization
TIBURCIO VASQUEZ HEALTH CENTER, INC.
Active
Organization
TIBURCIO VASQUEZ HEALTH CENTER, INC.
Active
Other names
San Leandro Mobile Van
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA SCHWAB-GALINDO (CHIEF EXECUTIVE OFFICER)
(510) 460-3855
Entity
Organization
Contact information
Practice address
16110 E 14TH ST, SAN LEANDRO, CA 94578-3002
(510) 471-5907
Mailing address
22331 MISSION BLVD, HAYWARD, CA 94541-3911
(510) 690-6052
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/19/2014
Last updated
04/04/2022
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