Organization
NORTH EAST MEDICAL SERVICES
Active
Other names
North East Medical Services - Polk
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
650 POLK ST, SAN FRANCISCO, CA 94102-3328
(415) 391-9686
Mailing address
2171 JUNIPERO SERRA BLVD STE 260, DALY CITY, CA 94014-1986
(415) 391-9686
(415) 433-4726
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
10/28/2019
Last updated
03/08/2022
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