Organization
NORTH EAST MEDICAL SERVICES
Active
Parent organization
NORTH EAST MEDICAL SERVICES
Other names
North East Medical Services - San Bruno Avenue
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH EAST MEDICAL SERVICES
Authorized official
MR. EDDIE CHAN PHARM.D. (PRESIDENT AND CEO)
(415) 391-9686
Entity
Organization
Contact information
Practice address
2574 SAN BRUNO AVE, SAN FRANCISCO, CA 94134-1505
(415) 391-9686
Mailing address
1520 STOCKTON ST, SAN FRANCISCO, CA 94133-3354
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
CA
Other
Enumeration date
07/31/2009
Last updated
02/17/2010
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