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NPI Code Detail

MEDICARE: SAN MATEO COUNTY HEALTH DEPARTMENT LABORATORY

MEDICARE: SAN MATEO COUNTY HEALTH DEPARTMENT LABORATORY
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
1291U00000XClinical Medical Laboratory1264CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720167422
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAN MATEO COUNTY HEALTH DEPARTMENT LABORATORY
Provider Business Mailing Address
First Line : 225 37TH AVE
Second Line :
City : SAN MATEO
State : CA
Zip : 94403-4324
Country : US
Telephone Number : 650-573-2500
Fax Number : 650-573-2147
Provider Business Practice Location Address
First Line : 225 37TH AVE
Second Line :
City : SAN MATEO
State : CA
Zip : 94403-4324
Country : US
Telephone Number : 650-573-2500
Fax Number : 650-573-2147
Authorized Official
Title or Position : DIRECTOR, PUBLIC HEALTH DIVISION
Name : MR. BRIAN ZAMORA
Credential :
Telephone Number : 650-573-3426
Provider Enumeration Date : 11/03/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1770673584 — JEANNINE BLEAM MEALEY LMFT
Practice Location Address:
225 37TH AVE
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94403-4324
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Practice Fax:
1568541951 — MR. JAMES C O'CONNELL NP
Practice Location Address:
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1285706390 — MAIA MARIE DEHLINGER
Practice Location Address:
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Practice Fax:
1255405247 — ALVARO GARZA M.D.
Practice Location Address:
225 37TH AVE
SAN MATEO, CA
94403-4324
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1821163114 — COUNTY OF SAN MATEO - PUBLIC HEALTH
Practice Location Address:
225 37TH AVE
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94403-4324
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1720143803 — JEANNE ALLEN LINQUIST M.D.
Practice Location Address:
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Directions to “SAN MATEO COUNTY HEALTH DEPARTMENT LABORATORY ” Practice Location

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