# HEALTHCARE & KIDNEY CLINIC A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376926626
- **Authorized official:** MAIAN YE DO (CEO/PRESIDENT)
- **Authorized official phone:** (917) 361-5983

## Contact information

- **Practice address:** 929 CLAY ST, 302, SAN FRANCISCO, CA 94108-1556
- **Practice address phone:** (415) 361-5086
- **Practice address fax:** (415) 216-0092
- **Mailing address:** 2736 SALISBURY WAY, SAN RAMON, CA 94582-5769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0100X | Health Service Clinic/Center | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | 20A10714 | CA | — |

## Other

- **Enumeration date:** 07/06/2015
- **Last updated:** 09/10/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 20A10714 | OSTEOPATHIC PHYSICIAN AND SURGEON | CA |