| Gemini Healthcare, Inc. | |
|
2345 Balboa St San Francisco CA 94121-2912 | |
| (415) 752-7141 | |
| (415) 751-6814 |
| Full Name | Gemini Healthcare, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2345 Balboa St, San Francisco, California |
| Authorized Official Name and Position | Mei-ling Elizabeth Fong (PHYSICIAN/OWNER) |
| Authorized Official Contact | 4157527141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gemini Healthcare, Inc. 2345 Balboa St San Francisco CA 94121-2912 Ph: (415) 752-7141 | Gemini Healthcare, Inc. 2345 Balboa St San Francisco CA 94121-2912 Ph: (415) 752-7141 |
| NPI Number | 1710163423 |
|---|---|
| Provider Enumeration Date | 01/11/2008 |
| Last Update Date | 01/11/2008 |
| Medicare PECOS PAC ID | 7214006360 |
|---|---|
| Medicare Enrollment ID | O20080515000591 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710163423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A63227 (California) | Primary |
| Provider Name | Mei Ling E Fong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346228707 PECOS PAC ID: 2769440353 Enrollment ID: I20041230000208 |
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