| Medical Center For Diabetes & Metabolic Care Inc. | |
|
1850 Sullivan Ave Ste 510 Daly City CA 94015-2230 | |
| (215) 630-1361 | |
| (866) 258-6628 |
| Full Name | Medical Center For Diabetes & Metabolic Care Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1850 Sullivan Ave Ste 510, Daly City, California |
| Authorized Official Name and Position | Myrna L Soriano (PRESIDENT) |
| Authorized Official Contact | 2156301361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Center For Diabetes & Metabolic Care Inc. 1361 Brentwood Rd Yardley PA 19067-3924 Ph: (650) 808-7430 | Medical Center For Diabetes & Metabolic Care Inc. 1850 Sullivan Ave Ste 510 Daly City CA 94015-2230 Ph: (215) 630-1361 |
| NPI Number | 1942524772 |
|---|---|
| Provider Enumeration Date | 03/23/2010 |
| Last Update Date | 03/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942524772 | NPI | - | NPPES |
| DF441Z | Other | CA | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | A 38854 (California) | Primary |
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Ellick Tsang M D Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1800 Sullivan Ave, Suite 304, Daly City, CA 94015 Phone: 650-992-8484 Fax: 650-992-8480 | |
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