Organization · Type 2 NPI

North East Medical Services

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

NPI number 1821697483 Active

Practice location

2633 San Bruno Ave
San Francisco, CA 94134-1597

Call (415) 391-9686 Map

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	None listed

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

Another provider at this address

Zachary ChakChiropractor San Francisco, CA NPI 1720958903

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NPI record

NPI: 1821697483
Entity type: Organization (Type 2)
Issued: Oct 23, 2020
Last updated: Mar 8, 2022
Status: Active

Other names

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North East Medical Services - 2633 San Bruno · other name
North East Medical Services - 2633 San Bruno · other name

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 1821697483

North East Medical Services's National Provider Identifier is 1821697483, issued on Oct 23, 2020. 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.