| NPI | 1811424039 |
|---|---|
| Doing Business As | NORTH EAST MEDICAL SERVICES - ELLIS |
| Entity Type | Organization |
| Authorized Contact | EDDIE CHAN President & CEO 415-391-9686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2017-05-18 |