Organization
ACTIVE MEDICAL GROUP OF NORTHERN CA A PROFFESIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE F SMITH M.D. (PRESIDENT)
(650) 757-8900
Entity
Organization
Contact information
Practice address
1800 SULLIVAN AVE, SUITE 504, DALY CITY, CA 94015-2228
(650) 757-8900
Mailing address
1800 SULLIVAN AVE, SUITE 504, DALY CITY, CA 94015-2228
(650) 757-8900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G59110
CA
Other
Enumeration date
10/26/2006
Last updated
11/09/2017
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