| North East Medical Services | |
|
1850 Sullivan Ave Ste 150 Daly City CA 94015-2230 | |
| (415) 391-9686 | |
| Not Available |
| Full Name | North East Medical Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 1850 Sullivan Ave Ste 150, Daly City, California |
| Authorized Official Name and Position | Eddie W Chan (PRESIDENT & CEO) |
| Authorized Official Contact | 4153919686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North East Medical Services 2171 Junipero Serra Blvd Ste 700 Daly City CA 94014-1982 Ph: () - | North East Medical Services 1850 Sullivan Ave Ste 150 Daly City CA 94015-2230 Ph: (415) 391-9686 |
| NPI Number | 1568174837 |
|---|---|
| Provider Enumeration Date | 12/19/2022 |
| Last Update Date | 12/19/2022 |
| Medicare PECOS PAC ID | 4284520529 |
|---|---|
| Medicare Enrollment ID | O20230309001271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568174837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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