Provider Demographics
NPI:1386046571
Name:SAN MATEO COUNTY-FAMILY HEALTH SERVICES
Entity type:Organization
Organization Name:SAN MATEO COUNTY-FAMILY HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT II
Authorized Official - Prefix:
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:E
Authorized Official - Last Name:NUEVO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-573-2016
Mailing Address - Street 1:2000 ALAMEDA DE LAS PULGAS STE 235
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403-1269
Mailing Address - Country:US
Mailing Address - Phone:650-573-2016
Mailing Address - Fax:650-573-8939
Practice Address - Street 1:2000 ALAMEDA DE LAS PULGAS STE 235
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-1269
Practice Address - Country:US
Practice Address - Phone:650-573-2016
Practice Address - Fax:650-573-8939
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAN MATEO MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-09-19
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management