| Medisina Sa Familia, Pa, Md | |
|
1850 Sullivan Ave Ste 510 Daly City CA 94015-2230 | |
| (650) 580-6479 | |
| (650) 735-5580 |
| Full Name | Medisina Sa Familia, Pa, Md |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1850 Sullivan Ave Ste 510, Daly City, California |
| Authorized Official Name and Position | Teresita Yee Degamo (CEO) |
| Authorized Official Contact | 6505806479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medisina Sa Familia, Pa, Md Po Box 5607 South San Francisco CA 94083-5607 Ph: (650) 580-6479 | Medisina Sa Familia, Pa, Md 1850 Sullivan Ave Ste 510 Daly City CA 94015-2230 Ph: (650) 580-6479 |
| NPI Number | 1124202296 |
|---|---|
| Provider Enumeration Date | 12/24/2007 |
| Last Update Date | 10/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124202296 | NPI | - | NPPES |
| #ED965A | Other | CA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | C50610 (California) | Primary |
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