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Organization

MEDISINA SA FAMILIA, PA, MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TERESITA YEE DEGAMO M.D. (CEO)
(650) 580-6479
Entity
Organization

Contact information

Practice address
1850 SULLIVAN AVE STE 510, DALY CITY, CA 94015-2230
(650) 580-6479
(650) 735-5580
Mailing address
PO BOX 5607, SOUTH SAN FRANCISCO, CA 94083-5607
(650) 580-6479
(650) 735-5580

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
C50610
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
#ED965A
MEDICARE PTAN
CA
Enumeration date
12/24/2007
Last updated
10/24/2011
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