| San Mateo Medical Center | |
|
795 Willow Rd Bldg 334 Menlo Park CA 94025-2539 | |
| (650) 599-3890 | |
| Not Available |
| Full Name | San Mateo Medical Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 795 Willow Rd, Menlo Park, 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 |
|---|---|
| San Mateo Medical Center 222 W 39th Ave San Mateo CA 94403-4364 Ph: (650) 573-2222 | San Mateo Medical Center 795 Willow Rd Bldg 334 Menlo Park CA 94025-2539 Ph: (650) 599-3890 |
| NPI Number | 1023197944 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 06/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023197944 | NPI | - | NPPES |
| FHC70035F | Other | CA | FQHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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