Organization
COUNTY OF SAN MATEO
Active
Other names
Alameda De Las Pulgas Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JEI AFRICA (DIRECTOR)
(650) 613-2155
Entity
Organization
Contact information
Practice address
2000 ALAMEDA DE LAS PULGAS, SAN MATEO, CA 94403-1269
(650) 372-8540
Mailing address
2000 ALAMEDA DE LAS PULGAS, SAN MATEO, CA 94403-1269
(650) 372-8540
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ80500Z
MEDICARE PTAN
CA
Enumeration date
09/28/2006
Last updated
05/22/2025
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