| North East Medical Services | |
|
939 Story Rd Ste 102 San Jose CA 95122-2688 | |
| (408) 573-9686 | |
| Not Available |
| Full Name | North East Medical Services |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 939 Story Rd Ste 102, San Jose, California |
| Authorized Official Name and Position | Eddie W Chan (PRESIDENT & CEO) |
| Authorized Official Contact | 4153919686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North East Medical Services 2171 Junipero Serra Blvd Ste 700 Daly City CA 94014-1982 Ph: (415) 391-9686 | North East Medical Services 939 Story Rd Ste 102 San Jose CA 95122-2688 Ph: (408) 573-9686 |
| NPI Number | 1194525634 |
|---|---|
| Provider Enumeration Date | 03/14/2025 |
| Last Update Date | 03/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194525634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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