Organization
HEALTHCARE & KIDNEY CLINIC A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAIAN YE DO (CEO/PRESIDENT)
(917) 361-5983
Entity
Organization
Contact information
Practice address
929 CLAY ST, 302, SAN FRANCISCO, CA 94108-1556
(415) 361-5086
(415) 216-0092
Mailing address
2736 SALISBURY WAY, SAN RAMON, CA 94582-5769
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
20A10714
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A10714
OSTEOPATHIC PHYSICIAN AND SURGEON
CA
Enumeration date
07/06/2015
Last updated
09/10/2015
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