# SAN MATEO COUNTY HEALTH DEPARTMENT

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

## Provider details

- **NPI number:** 1891989976
- **Authorized official:** MRS. SONIA CELMIRA LUCANA MSW/ASW (PSYCHIATRIC SOCIAL WORKER)
- **Authorized official phone:** 66503728555

## Contact information

- **Practice address:** 150 W 20TH AVE, SAN MATEO, CA 94403-1341
- **Practice address phone:** (650) 372-8555
- **Practice address fax:** (650) 341-7389
- **Mailing address:** 150 W 20TH AVE, SAN MATEO, CA 94403-1341
- **Mailing address phone:** (650) 372-8555
- **Mailing address fax:** (650) 341-7389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | ASW 15873 | CA | Yes |

## Other

- **Enumeration date:** 08/31/2007
- **Last updated:** 08/31/2007