Organization · Type 2 NPI

North East Medical Services

Federally Qualified Health Center (FQHC) · San Jose, CA

NPI number 1093992844 Active

Practice location

1715 Lundy Ave, Suite 108-116
San Jose, CA 95131-1837

Call (408) 573-9686 Map

Fax (408) 573-9685

Mailing address

1520 Stockton St
San Francisco, CA 94133-3354

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	550000901 (CA)

Federally Qualified Health Center (FQHC): Definition to come...

6 other providers at this address

North East Medical ServicesFederally Qualified Health Center (FQHC) San Jose, CA NPI 1265670368
North East Medical ServicesFederally Qualified Health Center (FQHC) San Jose, CA NPI 1497993729
June Siufong Lee, MDPediatrics Physician San Jose, CA NPI 1124257480
Lai Kuen Chu, R.N.Community Health Registered Nurse San Jose, CA NPI 1376772368
Michael Howard Cavender, O.T.Hand Occupational Therapist San Jose, CA NPI 1467597732
Sisi LiangCommunity Health Registered Nurse San Jose, CA NPI 1699055079

Other federally qualified health center (fqhc) providers in San Jose

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NPI record

NPI: 1093992844
Entity type: Organization (Type 2)
Issued: Jan 23, 2008
Last updated: Feb 17, 2010
Status: Active
Subpart: Yes of North East Medical Services

Other names

<unavail>
North East Medical Services - Lundy · other name

Authorized official

Mr. Eddie Chan, PharmD
President & CEO
(415) 391-9686

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093992844

North East Medical Services's National Provider Identifier is 1093992844, issued on Jan 23, 2008. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in San Jose, CA. The record was last updated on Feb 17, 2010.