| Richmond District Medical Group, Inc. | |
|
2345 Balboa St San Francisco CA 94121-2912 | |
| (415) 752-7141 | |
| (888) 220-0850 |
| Full Name | Richmond District Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2345 Balboa St, San Francisco, California |
| Authorized Official Name and Position | Mei-lai Lucas (PRESIDENT) |
| Authorized Official Contact | 4157527141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richmond District Medical Group, Inc. 2345 Balboa St San Francisco CA 94121-2912 Ph: (415) 752-7141 | Richmond District Medical Group, Inc. 2345 Balboa St San Francisco CA 94121-2912 Ph: (415) 752-7141 |
| NPI Number | 1659473320 |
|---|---|
| Provider Enumeration Date | 09/02/2006 |
| Last Update Date | 01/13/2022 |
| Medicare PECOS PAC ID | 2860450459 |
|---|---|
| Medicare Enrollment ID | O20041229000513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659473320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mei-lai Lucas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104806058 PECOS PAC ID: 0941268536 Enrollment ID: I20041230000178 |
| Provider Name | Joshua Herbert Rassen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902885510 PECOS PAC ID: 7012975501 Enrollment ID: I20041230000239 |
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