|
| |
|
380 90th St Daly City CA 94015-1807 | |
| (650) 573-2222 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 380 90th St, Daly City, California |
| Authorized Official Name and Position | Kris Rozzi (REIMBURSEMENT) |
| Authorized Official Contact | 6505732120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
222 W 39th Ave San Mateo CA 94403-4364 Ph: (650) 573-2120 | 380 90th St Daly City CA 94015-1807 Ph: (650) 573-2222 |
| NPI Number | 1255400909 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255400909 | NPI | - | NPPES |
| GR0028882 | Medicaid | CA | |
| ZZZ805642 | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Pediahealth Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Campus Dr, Suite 210, Daly City, CA 94015 Phone: 650-994-3000 | |
John W. Wilson, Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Sullivan Ave, Room 503, Daly City, CA 94015 Phone: 650-994-9090 Fax: 650-994-9093 | |
Divya R Kini Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 Southgate Avenue, Divya Kini Md Inc Suite 204, Daly City, CA 94015 Phone: 650-755-2192 Fax: 650-745-0710 | |
Ellick Tsang M D Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1800 Sullivan Ave, Suite 304, Daly City, CA 94015 Phone: 650-992-8484 Fax: 650-992-8480 | |
Medisina Sa Familia, Pa, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 Sullivan Ave Ste 510, Daly City, CA 94015 Phone: 650-580-6479 Fax: 650-735-5580 |