| North East Medical Services - 1870 Lundy | |
|
1870 Lundy Ave San Jose CA 95131-1826 | |
| (408) 573-9686 | |
| (408) 573-9685 |
| Full Name | North East Medical Services - 1870 Lundy |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1870 Lundy Ave, San Jose, California |
| Authorized Official Name and Position | Eddie W. Chan (PRESIDENT & CEO) |
| Authorized Official Contact | 4153919686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North East Medical Services - 1870 Lundy 1520 Stockton St San Francisco CA 94133-3354 Ph: (415) 391-9686 | North East Medical Services - 1870 Lundy 1870 Lundy Ave San Jose CA 95131-1826 Ph: (408) 573-9686 |
| NPI Number | 1083035505 |
|---|---|
| Provider Enumeration Date | 12/31/2013 |
| Last Update Date | 12/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083035505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
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