| NPI | 1265217616 |
|---|---|
| Other Name | NORTH EAST MEDICAL SERVICES -SULLIVAN SUITE 190 |
| Entity Type | Organization |
| Authorized Contact | EDDIE W CHAN President & CEO 415-391-9686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2023-08-25 |