Organization
NORTH EAST MEDICAL SERVICES
Active
Organization
NORTH EAST MEDICAL SERVICES
Active
Other names
North East Medical Services - 939 Story Road Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDIE W CHAN (PRESIDENT & CEO)
(415) 391-9686
Entity
Organization
Contact information
Practice address
939 STORY RD STE 102, SAN JOSE, CA 95122-2688
(408) 573-9686
Mailing address
2171 JUNIPERO SERRA BLVD STE 700, DALY CITY, CA 94014-1982
(415) 391-9686
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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