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Organization

NORTH EAST MEDICAL SERVICES

Active
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Organization

NORTH EAST MEDICAL SERVICES

Active
Parent organization
NORTH EAST MEDICAL SERVICES
Other names
North East Medical Services - Noriega
Organization subpart
Yes

Provider details

NPI number
Legal business name
NORTH EAST MEDICAL SERVICES
Authorized official
MR. EDDIE W CHAN PHARM.D. (PRESIDENT & CEO)
(415) 391-9686
Entity
Organization

Contact information

Practice address
1450 NORIEGA ST, SAN FRANCISCO, CA 94122-4432
(415) 391-9686
(415) 352-5098
Mailing address
1520 STOCKTON STREET, 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
550000007
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
HAP71085F
CA
Enumeration date
01/22/2008
Last updated
04/30/2010
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