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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