| |
2000 Alameda De Las Pulgas Ste 280 San Mateo CA 94403-1289 | |
(650) 573-2509 | |
(650) 573-2110 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 2000 Alameda De Las Pulgas Ste 280, San Mateo, California |
Authorized Official Name and Position | Jei Africa (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6506132155 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2000 Alameda De Las Pulgas Ste 280 San Mateo CA 94403-1289 Ph: (650) 573-2509 | 2000 Alameda De Las Pulgas Ste 280 San Mateo CA 94403-1289 Ph: (650) 573-2509 |
NPI Number | 1669870952 |
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Provider Enumeration Date | 12/18/2014 |
Last Update Date | 12/10/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669870952 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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