North East Medical Services - Taraval

LBN: North East Medical Services
North East Medical Services - Taraval is an health care organization with primary practice located at 3431 Taraval St , San Francisco CA 94116-2050. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Agencies / Supports Brokerage, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. North East Medical Services can be contacted via phone (415) 391-9686, or through Chan, Eddie W via phone (415) 391-9686.

Contact Information

Primary practice address
3431 Taraval St San Francisco CA 94116-2050
Phone: (415) 391-9686
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Chan, Eddie W PHARMD
Phone: (415) 391-9686

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Agencies / Supports Brokerage 251X00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1447810734
LBN Legal business name North East Medical Services
DBA Doing business as North East Medical Services - Taraval
Authorized official Chan, Eddie W PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2019
Last updated Mar 8th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447810734 NPPES
California MEDICAID 1457658734

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