NPI | 1326279852 |
---|---|
Doing Business As | NORTH EAST MEDICAL SERVICES - SAN BRUNO AVENUE |
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) (Licence: CA PENDING) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
251X00000X | |
Enumeration Date | 2009-07-31 |
Last Update Date | 2022-03-08 |