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1650 S. Amphlett Blvd. Suite 113 San Mateo CA 94402 | |
| (650) 581-1542 | |
| (650) 393-4511 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1650 S. Amphlett Blvd., San Mateo, California |
| Authorized Official Name and Position | Kathy Cheng (EXECUTIVE VICE PRESIDENT AND CFO/CA) |
| Authorized Official Contact | 4157779622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
631 Howard St Suite 500 San Francisco CA 94105-3907 Ph: (415) 281-6700 | 1650 S. Amphlett Blvd. Suite 113 San Mateo CA 94402 Ph: (650) 581-1542 |
| NPI Number | 1316084072 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 05/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316084072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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