Organization · Type 2 NPI

North East Medical Services

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

NPI number 1336229194 Active

Practice location

82 Leland Avenue
San Francisco, CA 94134-2804

Call (415) 391-9686 Map

Fax (415) 333-9067

Mailing address

2171 Junipero Serra Blvd Ste 700
Daly City, CA 94014-1982

Specialties and licenses

Taxonomy	Code	License
Case Manager/Care Coordinator	171M00000X	None listed
Supports Brokerage Agency	251X00000X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	220000359 (CA)

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

2 other providers at this address

North East Medical ServicesFederally Qualified Health Center (FQHC) San Francisco, CA NPI 1013194810
North East Medical ServicesFederally Qualified Health Center (FQHC) San Francisco, CA NPI 1659558369

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NPI record

NPI: 1336229194
Entity type: Organization (Type 2)
Issued: Oct 16, 2006
Last updated: Mar 8, 2022
Status: Active

Other names

<unavail>
North East Medical Services- Leland · doing business as
North East Medical Services- Leland · doing business as

Authorized official

Mr. Eddie W 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 1336229194

North East Medical Services's National Provider Identifier is 1336229194, issued on Oct 16, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in San Francisco, CA. The record was last updated on Mar 8, 2022.