Organization
ST. ELIZABETH ANN SETON NEW LIFE CENTER
Active
Other names
Seton New Life Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARITA MENDOZA (PROGRAM COORDINATOR)
(650) 301-8875
Entity
Organization
Contact information
Practice address
1500 SOUTHGATE AVE, SUITE 112, DALY CITY, CA 94015-2259
(650) 301-8875
(650) 301-8880
Mailing address
1500 SOUTHGATE AVE, SUITE 112, DALY CITY, CA 94015-2259
(650) 301-8875
(650) 301-8880
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0094560
MEDI-CAL
CA
Enumeration date
01/16/2007
Last updated
09/12/2007
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