| San Mateo Medical Center | |
|
380 90th St Daly City CA 94015-1807 | |
| (650) 301-8600 | |
| Not Available |
| Full Name | San Mateo Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 380 90th St, Daly City, California |
| Authorized Official Name and Position | Kris Rozzi (REIMBURSEMENT) |
| Authorized Official Contact | 6505732120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Mateo Medical Center 222 W 39th Ave San Mateo CA 94403-4364 Ph: (650) 573-2222 | San Mateo Medical Center 380 90th St Daly City CA 94015-1807 Ph: (650) 301-8600 |
| NPI Number | 1265522619 |
|---|---|
| Provider Enumeration Date | 10/14/2006 |
| Last Update Date | 10/27/2016 |
| Medicare PECOS PAC ID | 9032023171 |
|---|---|
| Medicare Enrollment ID | O20161007001680 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265522619 | NPI | - | NPPES |
| FHC70620F | Other | CA | FQHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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