MEDICARE: EDGEWOOD CENTER FOR CHILDREN AND FAMILIES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1013389725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDGEWOOD CENTER FOR CHILDREN AND FAMILIES

Provider Business Mailing Address
First Line	:	700 AIRPORT BLVD STE 490&495
Second Line	:
City	:	BURLINGAME
State	:	CA
Zip	:	94010-1908
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 AIRPORT BLVD STE 490&495
Second Line	:
City	:	BURLINGAME
State	:	CA
Zip	:	94010-1908
Country	:	US
Telephone Number	:	415-741-4684
Fax Number	:

Authorized Official
Title or Position	:	HEAD QUALITY MANAGEMENT AND PRIVACY
Name	:	SAPNA PATEL
Credential	:
Telephone Number	:	415-741-4684

Provider Enumeration Date	:	10/21/2015
Last Update Date	:	07/02/2024

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Directions to “EDGEWOOD CENTER FOR CHILDREN AND FAMILIES ” Practice Location

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