| San Leandro Mobile Van | |
|
16110 E 14th St San Leandro CA 94578-3002 | |
| (510) 471-5880 | |
| Not Available |
| Full Name | San Leandro Mobile Van |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 16110 E 14th St, San Leandro, California |
| Authorized Official Name and Position | Andrea Schwab-galindo (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5104603855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Leandro Mobile Van 22331 Mission Blvd Hayward CA 94541-3911 Ph: (510) 690-6052 | San Leandro Mobile Van 16110 E 14th St San Leandro CA 94578-3002 Ph: (510) 471-5880 |
| NPI Number | 1083381933 |
|---|---|
| Provider Enumeration Date | 08/27/2021 |
| Last Update Date | 12/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083381933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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