| North East Medical Services - 1400 Noriega | |
|
1400 Noriega St San Francisco CA 94122-4432 | |
| (415) 391-9686 | |
| (415) 433-4726 |
| Full Name | North East Medical Services - 1400 Noriega |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1400 Noriega St, San Francisco, California |
| Authorized Official Name and Position | Eddie W. Chan (PRESIDENT & CEO) |
| Authorized Official Contact | 4153919686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North East Medical Services - 1400 Noriega 1520 Stockton St San Francisco CA 94133-3354 Ph: (415) 391-9686 | North East Medical Services - 1400 Noriega 1400 Noriega St San Francisco CA 94122-4432 Ph: (415) 391-9686 |
| NPI Number | 1053655704 |
|---|---|
| Provider Enumeration Date | 11/19/2012 |
| Last Update Date | 11/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053655704 | NPI | - | NPPES |
| PENDING | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
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