Organization
NORTH EAST MEDICAL SERVICES
Active
Parent organization
NORTH EAST MEDICAL SERVICES
Other names
North East Medical Services - Lundy
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH EAST MEDICAL SERVICES
Authorized official
MR. EDDIE CHAN PHARM.D. (PRESIDENT & CEO)
(415) 391-9686
Entity
Organization
Contact information
Practice address
1715 LUNDY AVE, SUITE 108-116, SAN JOSE, CA 95131-1837
(408) 573-9686
(408) 573-9685
Mailing address
1520 STOCKTON ST, SAN FRANCISCO, CA 94133-3354
(415) 391-9686
(415) 433-4726
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
550000901
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093992844
—
CA
05
—
1265670368
—
CA
05
—
1497993729
—
CA
Enumeration date
01/23/2008
Last updated
02/17/2010
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