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ST. ELIZABETH ANN SETON NEW LIFE CENTER NPI 1720130412


NPI Information

NPI: 1720130412
Provider Name: ST. ELIZABETH ANN SETON NEW LIFE CENTER

Doing Business As: SETON NEW LIFE CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1500 SOUTHGATE AVE
SUITE 112
DALY CITY, CA
ZIP 94015
Phone: (650) 301-8875
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ST. ELIZABETH ANN SETON NEW LIFE CENTER is a clinic center in Daly City, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ST. ELIZABETH ANN SETON NEW LIFE CENTER NPI is 1720130412. The provider is registered as an organization entity type.
The provider Is Doing Business As Seton New Life Center.

The provider's business location address is:

1500 SOUTHGATE AVE
SUITE 112
DALY CITY, CA
ZIP 94015-259
Phone: (650) 301-8875
Fax: (650) 301-8880

The provider's authorized official is Margarita Mendoza .
The authorized official title is Program Coordinator and has the following contact phone number (650) 301-8875.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 9/12/2007.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GR0094560OTHERCALIFORNIAMEDI-CAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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