| Imat Ecm | |
|
2000 Alameda De Las Pulgas Ste 280 San Mateo CA 94403-1289 | |
| (650) 573-2509 | |
| (650) 573-2110 |
| Full Name | Imat Ecm |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2000 Alameda De Las Pulgas Ste 280, San Mateo, California |
| Authorized Official Name and Position | Scott Gruendl (ASSISTANT DIRECTOR) |
| Authorized Official Contact | 6505732491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imat Ecm 2000 Alameda De Las Pulgas Ste 280 San Mateo CA 94403-1289 Ph: (650) 573-2509 | Imat Ecm 2000 Alameda De Las Pulgas Ste 280 San Mateo CA 94403-1289 Ph: (650) 573-2509 |
| NPI Number | 1356001259 |
|---|---|
| Provider Enumeration Date | 12/20/2021 |
| Last Update Date | 12/20/2021 |
| Certification Date | 12/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356001259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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