Healthcare Provider Details

I. General information

NPI: 1245169200
Provider Name (Legal Business Name): MAPLE COMMUNITY CARE HUB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1839 ARROYO AVE STE 111
SAN CARLOS CA
94070-3810
US

IV. Provider business mailing address

2261 MARKET ST STE 90512
SAN FRANCISCO CA
94114-1612
US

V. Phone/Fax

Practice location:
  • Phone: 650-614-5651
  • Fax: 650-689-4568
Mailing address:
  • Phone: 650-614-5651
  • Fax: 650-689-4568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: DR. MEGAN YOKO GALAN
Title or Position: PHYSICIAN
Credential: M.D., M.SC.
Phone: 650-614-5651