| Hpsm Ravenswood Fqhc | |
|
2000 Alameda De Las Pulgas Ste 280 San Mateo CA 94403-1289 | |
| (650) 573-2509 | |
| (650) 573-2110 |
| Full Name | Hpsm Ravenswood Fqhc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2000 Alameda De Las Pulgas Ste 280, San Mateo, California |
| Authorized Official Name and Position | Scott Gilman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6505732748 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hpsm Ravenswood Fqhc 2000 Alameda De Las Pulgas Ste 280 San Mateo CA 94403-1289 Ph: (650) 573-2509 | Hpsm Ravenswood Fqhc 2000 Alameda De Las Pulgas Ste 280 San Mateo CA 94403-1289 Ph: (650) 573-2509 |
| NPI Number | 1669870952 |
|---|---|
| Provider Enumeration Date | 12/18/2014 |
| Last Update Date | 03/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669870952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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