| NPI | 1821779364 |
|---|---|
| Other Name | NORTH EAST MEDICAL SERVICES - 1430 TARAVAL |
| 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) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2023-07-27 |