# JADE HEALTH CARE MEDICAL GROUP, INC

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

## Provider details

- **NPI number:** 1922517846
- **Authorized official:** MR. THOMAS WOO (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (628) 228-2707

## Contact information

- **Practice address:** 445 GRANT AVENUE, SUITE 200, SAN FRANCISCO, CA 94108
- **Practice address phone:** (415) 677-2408
- **Mailing address:** 445 GRANT AVENUE, SUITE 200, SAN FRANCISCO, CA 94108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |
| 305R00000X | Preferred Provider Organization | — | NULL | — |

## Other

- **Enumeration date:** 09/22/2017
- **Last updated:** 12/18/2018