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2015 Pioneer Ct San Mateo CA 94403-1781 | |
| (415) 762-3700 | |
| (415) 865-0119 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2015 Pioneer Ct, San Mateo, California |
| Authorized Official Name and Position | Athila Lambino (DIR. LICENSING & CERTIFICATION) |
| Authorized Official Contact | 4159120605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1563 Mission Street 2nd Floor Mail Room San Francisco CA 94103-2543 Ph: (415) 762-3700 | 2015 Pioneer Ct San Mateo CA 94403-1781 Ph: (415) 762-3700 |
| NPI Number | 1649403486 |
|---|---|
| Provider Enumeration Date | 08/27/2009 |
| Last Update Date | 02/04/2025 |
| Certification Date | 02/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649403486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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