Organization
NORTH EAST MEDICAL SERVICES
Active
Other names
NORTH EAST MEDICAL SERVICES - ELLIS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDIE CHAN (PRESIDENT & CEO)
(415) 391-9686
Entity
Organization
Contact information
Practice address
518 ELLIS ST, SAN FRANCISCO, CA 94109-8103
(415) 391-9686
(415) 433-4726
Mailing address
1520 STOCKTON ST, SAN FRANCISCO, CA 94133-3354
(415) 391-9686
(415) 433-4726
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/18/2017
Last updated
05/18/2017
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