ACTIVE MEDICAL GROUP OF NORTHERN CA A PROFFESIONAL CORPORATION
Organization (NPI-2)
Active
Internal Medicine
Provider Information
- NPI Number
1639254501- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1800 SULLIVAN AVE SUITE 504, DALY CITY, CA, 940152228
- Phone
- (650) 757-8900
Specialties & Taxonomies
Internal Medicine
Primary License: CA #G59110