Organization
NORTH EAST MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDDIE W CHAN (PRESIDENT & CEO)
(415) 391-9686
Entity
Organization
Contact information
Practice address
728 PACIFIC AVE STE 201, SAN FRANCISCO, CA 94133-4449
(415) 391-9686
Mailing address
2171 JUNIPERO SERRA BLVD STE 700, DALY CITY, CA 94014-1982
(415) 391-9686
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Enumeration date
04/02/2020
Last updated
09/04/2024
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