NPI | 1851014856 |
---|---|
Other Name | NORTH EAST MEDICAL SERVICES - 1798 19TH 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) |
Enumeration Date | 2022-09-23 |
Last Update Date | 2022-09-23 |