| North East Medical Services - Lundy | |
|
1715 Lundy Ave Suite 108-116 San Jose CA 95131-1837 | |
| (408) 573-9686 | |
| (408) 573-9685 |
| Full Name | North East Medical Services - Lundy |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1715 Lundy Ave, San Jose, California |
| Authorized Official Name and Position | Eddie 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 - Lundy 1520 Stockton St San Francisco CA 94133-3354 Ph: (415) 391-9686 | North East Medical Services - Lundy 1715 Lundy Ave Suite 108-116 San Jose CA 95131-1837 Ph: (408) 573-9686 |
| NPI Number | 1265670368 |
|---|---|
| Provider Enumeration Date | 01/27/2009 |
| Last Update Date | 02/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265670368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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