Active Medical Group of Northern Ca a Proffesional Corporation
NPI #1639254501 in Daly City, California
Provider Information
- NPI Number
- 1639254501
- Entity Type
- Organization
- Organization Name
- Active Medical Group of Northern Ca a Proffesional Corporation
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Oct 26, 2006
- Last Updated
- Nov 9, 2017
Practice Location
- Address
- 1800 SULLIVAN AVE
- Address 2
- SUITE 504
- City
- Daly City
- State
- California
- ZIP Code
- 94015-2228
- Phone
- (650) 757-8900
Authorized Official
- Name
- DR. GEORGE F SMITH, M.D.
- Title
- PRESIDENT
- Phone
- (650) 757-8900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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