NORTH EAST MEDICAL SERVICES NPI 1548697444

NPI Information

NORTH EAST MEDICAL SERVICES is a federally qualified health center (fqhc) clinic center in San Jose, CA. NORTH EAST MEDICAL SERVICES NPI is 1548697444. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is North East Medical Services - 1870 Lundy.

The provider's business location address is:

1870 LUNDY AVE
SAN JOSE, CA
ZIP 95131-826
Phone: (408) 573-9686
Fax: (408) 573-9685

The provider's authorized official is Eddie W Chan .
The authorized official title is President & Ceo and has the following contact phone number (415) 391-9686.

The CLIA number assigned to this NPI record is 05D0988450 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/9/2013 and was last updated on 3/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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