| Alameda De Las Pulgas Clinic | |
|
2000 Alameda De Las Pulgas San Mateo CA 94403-1269 | |
| (650) 372-8540 | |
| Not Available |
| Full Name | Alameda De Las Pulgas Clinic |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2000 Alameda De Las Pulgas, San Mateo, California |
| Authorized Official Name and Position | Scott Gilman (MENTAL HEALTH DIRECTOR) |
| Authorized Official Contact | 6505732748 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alameda De Las Pulgas Clinic 2000 Alameda De Las Pulgas San Mateo CA 94403-1269 Ph: (650) 372-8540 | Alameda De Las Pulgas Clinic 2000 Alameda De Las Pulgas San Mateo CA 94403-1269 Ph: (650) 372-8540 |
| NPI Number | 1336231646 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 08/25/2022 |
| Certification Date | 08/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336231646 | NPI | - | NPPES |
| ZZZ80500Z | Other | CA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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