| Child Mind Medical Practice, Pc | |
|
2000 Alameda De Las Pulgas Ste 242 San Mateo CA 94403-1271 | |
| (650) 931-6501 | |
| Not Available |
| Full Name | Child Mind Medical Practice, Pc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2000 Alameda De Las Pulgas Ste 242, San Mateo, California |
| Authorized Official Name and Position | Terence Byrnes (OPERATIONS MANAGER) |
| Authorized Official Contact | 6509316501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Mind Medical Practice, Pc 2000 Alameda De Las Pulgas Ste 242 San Mateo CA 94403-1271 Ph: (650) 931-6501 | Child Mind Medical Practice, Pc 2000 Alameda De Las Pulgas Ste 242 San Mateo CA 94403-1271 Ph: (650) 931-6501 |
| NPI Number | 1134766041 |
|---|---|
| Provider Enumeration Date | 12/10/2019 |
| Last Update Date | 12/10/2019 |
| Certification Date | 12/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134766041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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