| San Mateo Medical Center | |
|
630 Laurel St Redwood City CA 94063-2977 | |
| (650) 701-0334 | |
| Not Available |
| Full Name | San Mateo Medical Center |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 630 Laurel St, Redwood City, California |
| Authorized Official Name and Position | Kris Rozzi (DPFS) |
| 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 630 Laurel St Redwood City CA 94063-2977 Ph: (650) 701-0334 |
| NPI Number | 1821233958 |
|---|---|
| Provider Enumeration Date | 12/03/2008 |
| Last Update Date | 12/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821233958 | NPI | - | NPPES |
| GR0028871 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 220000015 (California) | Primary |
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