Organization
SAN MATEO COUNTY
Active
Parent organization
SAN MATEO MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAN MATEO MEDICAL CENTER
Authorized official
KRIS ROZZI (REIMBURSEMENT)
(650) 573-2120
Entity
Organization
Contact information
Practice address
630 LAUREL ST, SUITE A, REDWOOD CITY, CA 94063-2977
(650) 261-3710
Mailing address
222 W 39TH AVE, SAN MATEO, CA 94403-4364
(650) 573-2222
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FHC80187F
FQHC
CA
Enumeration date
11/07/2006
Last updated
08/26/2008
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