Organization
NORTH EAST MEDICAL SERVICES
Active
Parent organization
NORTH EAST MEDICAL SERVICES
Other names
NORTH EAST MEDICAL SERVICES - STOCKTON
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH EAST MEDICAL SERVICES
Authorized official
MR. EDDIE W CHAN PHARM.D. (PRESIDENT & CEO)
(415) 391-9686
Entity
Organization
Contact information
Practice address
1520 STOCKTON STREET, SAN FRANCISCO, CA 94133-3354
(415) 391-9686
(415) 433-4726
Mailing address
2171 JUNIPERO SERRA BLVD STE 700, DALY CITY, CA 94014-1982
(415) 433-4726
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251X00000X
Supports Brokerage Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
220000118
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EAP11007F
—
CA
05
—
FHC11007F
—
CA
05
—
GR0028720
—
CA
Enumeration date
05/19/2006
Last updated
03/04/2022
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