| North East Medical Services - Eastmoor | |
|
211 Eastmoor Ave Daly City CA 94015-2036 | |
| (415) 391-9686 | |
| Not Available |
| Full Name | North East Medical Services - Eastmoor |
|---|---|
| Speciality | Clinic/Center |
| Location | 211 Eastmoor Ave, 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 - Eastmoor 1520 Stockton St San Francisco CA 94133-3354 Ph: (415) 391-9686 | North East Medical Services - Eastmoor 211 Eastmoor Ave Daly City CA 94015-2036 Ph: (415) 391-9686 |
| NPI Number | 1104103001 |
|---|---|
| Provider Enumeration Date | 11/07/2011 |
| Last Update Date | 11/07/2011 |
| Medicare PECOS PAC ID | 4284520529 |
|---|---|
| Medicare Enrollment ID | O20120214000953 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104103001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 00000000 (California) | Primary |
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