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1500 Southgate Ave Suite 102 Daly City CA 94015-2205 | |
| (650) 755-3000 | |
| (650) 755-3007 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 1500 Southgate Ave, Daly City, California |
| Authorized Official Name and Position | Procerpina (aka) Per Romualdo Gee (VICE PRESIDENT AND TREASURER) |
| Authorized Official Contact | 6507553000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1500 Southgate Ave Suite 102 Daly City CA 94015-2205 Ph: (650) 755-3000 | 1500 Southgate Ave Suite 102 Daly City CA 94015-2205 Ph: (650) 755-3000 |
| NPI Number | 1467607432 |
|---|---|
| Provider Enumeration Date | 11/18/2008 |
| Last Update Date | 03/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467607432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G45021 (California) | Primary |
| 207R00000X | Internal Medicine | G45021 (California) | Secondary |
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