Organization
SAN MATEO COUNTY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRIS ROZZI (REIMBURSEMENT)
(650) 573-2120
Entity
Organization
Contact information
Practice address
630 LAUREL ST, REDWOOD CITY, CA 94063-2977
(650) 573-2120
Mailing address
222 W 39TH AVE, SAN MATEO, CA 94403-4364
(650) 573-2120
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FHC80183W
FQHC PROVIDER #
CA
Enumeration date
06/30/2006
Last updated
08/22/2020
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