North East Medical Services

NPI #1083035505 in San Jose, California

Provider Information

NPI Number
1083035505
Entity Type
Organization
Organization Name
North East Medical Services
Subpart
Yes (part of a larger organization)
Parent Organization
NORTH EAST MEDICAL SERVICES
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Dec 31, 2013
Last Updated
Dec 31, 2013

Practice Location

Address
1870 LUNDY AVE
ZIP Code
95131-1826
Phone
(408) 573-9686

Authorized Official

Name
MR. EDDIE W. CHAN, PHARM.D.
Title
PRESIDENT & CEO
Phone
(415) 391-9686

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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