| NPI | 1174754600 |
|---|---|
| Other Name | NORTH EAST MEDICAL SERVICES - SAN BRUNO AVENUE |
| Entity Type | Organization |
| Authorized Contact | EDDIE CHAN President And CEO 415-391-9686 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2010-02-17 |