Organization
MISSION AREA HEALTH ASSOCIATES
Active
Parent organization
MISSION AREA HEALTH ASSOCIATES
Other names
Mission Neighborhood Health Center Excelsior Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSION AREA HEALTH ASSOCIATES
Authorized official
MRS. SILVIA SIU (CHIEF FINANCIAL OFFICER)
(415) 552-1013
Entity
Organization
Contact information
Practice address
4434 MISSION ST, SAN FRANCISCO, CA 94112-1927
(415) 406-1353
Mailing address
240 SHOTWELL ST, SAN FRANCISCO, CA 94110-1323
(415) 552-3870
(415) 431-3178
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCP11005F
CA CDP PROVIDER
CA
Enumeration date
04/11/2008
Last updated
04/11/2008
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