Organization
FAIRVIEW HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MERLITA BORJA EVANGELISTA (PEDIATRICIAN)
(440) 779-1615
Entity
Organization
Contact information
Practice address
901 CAMPUS DR, SUITE 210, DALY CITY, CA 94015-4900
(650) 994-3000
(650) 994-3004
Mailing address
22338 SHARON LN, FAIRVIEW PARK, OH 44126-2543
(440) 779-1615
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
33899
CA
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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