| Active Medical Group Of Northern Ca A Proffesional Corporation | |
|
1800 Sullivan Ave Suite 504 Daly City CA 94015-2228 | |
| (650) 757-8900 | |
| Not Available |
| Full Name | Active Medical Group Of Northern Ca A Proffesional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1800 Sullivan Ave, Daly City, California |
| Authorized Official Name and Position | George F Smith (PRESIDENT) |
| Authorized Official Contact | 6507578900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Medical Group Of Northern Ca A Proffesional Corporation 1800 Sullivan Ave Suite 504 Daly City CA 94015-2228 Ph: (650) 757-8900 | Active Medical Group Of Northern Ca A Proffesional Corporation 1800 Sullivan Ave Suite 504 Daly City CA 94015-2228 Ph: (650) 757-8900 |
| NPI Number | 1639254501 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 11/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639254501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G59110 (California) | Primary |
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