Organization
NORTH EAST MEDICAL SERVICES
Active
Other names
North East Medical Services - 2633 San Bruno
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDIE W CHAN PHARMD (PRESIDENT & CEO)
(415) 391-9686
Entity
Organization
Contact information
Practice address
2633 SAN BRUNO AVE, SAN FRANCISCO, CA 94134-1597
(415) 391-9686
Mailing address
2171 JUNIPERO SERRA BLVD STE 700, DALY CITY, CA 94014-1982
(415) 391-9686
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251X00000X
Supports Brokerage Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/23/2020
Last updated
03/08/2022
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