| San Mateo Medical Center | |
|
222 W 39th Ave San Mateo CA 94403-4364 | |
| (650) 573-2222 | |
| Not Available |
| Full Name | San Mateo Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 222 W 39th Ave, San Mateo, California |
| Authorized Official Name and Position | Kris Rozzi (REIMBURSEMENT) |
| Authorized Official Contact | 6505732120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Mateo Medical Center 222 W 39th Ave San Mateo CA 94403-4364 Ph: (650) 573-2222 | San Mateo Medical Center 222 W 39th Ave San Mateo CA 94403-4364 Ph: (650) 573-2222 |
| NPI Number | 1194894840 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 09/28/2023 |
| Certification Date | 09/28/2023 |
| Medicare PECOS PAC ID | 9032023171 |
|---|---|
| Medicare Enrollment ID | O20090325000637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194894840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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