| Project 90 - Friendship Hall | |
|
416 2nd Ave San Mateo CA 94401 | |
| (650) 333-4226 | |
| Not Available |
| Full Name | Project 90 - Friendship Hall |
|---|---|
| Speciality | Clinic/center |
| Location | 416 2nd Ave, San Mateo, California |
| Authorized Official Name and Position | Jennifer Lynn Stearns (DIRECTOR OF QUALITY) |
| Authorized Official Contact | 4088414107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Project 90 - Friendship Hall 411 Borel Ave Ste 101 San Mateo CA 94402-3525 Ph: (650) 372-4080 | Project 90 - Friendship Hall 416 2nd Ave San Mateo CA 94401 Ph: (650) 333-4226 |
| NPI Number | 1497186886 |
|---|---|
| Provider Enumeration Date | 12/10/2013 |
| Last Update Date | 03/20/2025 |
| Certification Date | 03/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497186886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 410005VN (California) | Primary |
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