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375 89th St Daly City CA 94015-1802 | |
| (650) 301-8650 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 375 89th St, Daly City, California |
| Authorized Official Name and Position | Jei Africa (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6506132155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
375 89th St Daly City CA 94015-1802 Ph: (650) 301-8650 | 375 89th St Daly City CA 94015-1802 Ph: (650) 301-8650 |
| NPI Number | 1053367854 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 02/08/2024 |
| Certification Date | 02/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053367854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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