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Organization
SAMARITAN HOUSE
Active
Organization
SAMARITAN HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON WONG MD (MEDICAL DIRECTOR)
(650) 257-5286
Entity
Organization
Contact information
Practice address
19 W 39TH AVE, SAN MATEO, CA 94403-4593
(650) 578-0400
(650) 578-0440
Mailing address
4031 PACIFIC BLVD, SAN MATEO, CA 94403-4666
(650) 341-4081
(650) 341-0526
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
220000275
CA
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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