MEDICARE: MEIHUA EDDY

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1578306460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEIHUA EDDY

Provider Business Mailing Address
First Line	:	2261 MARKET ST # 4875
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94114-1612
Country	:	US
Telephone Number	:	949-424-5479
Fax Number	:

Provider Business Practice Location Address
First Line	:	303 TWIN DOLPHIN DR FL 6
Second Line	:
City	:	REDWOOD CITY
State	:	CA
Zip	:	94065-1497
Country	:	US
Telephone Number	:	949-424-5479
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2024
Last Update Date	:	06/17/2024

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Directions to “ MEIHUA EDDY ” Practice Location

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