| NPI | 1720387640 |
|---|---|
| Other Name | NORTH EAST MEDICAL SERVICES - TARAVAL |
| Entity Type | Organization |
| Authorized Contact | EDDIE W CHAN President & CEO 415-391-9686 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-03-17 |