NPI 1174955587

Cccma

Organisation Long Term Care Hospital Millbrae, CA

Practice location

Address: 1149 Fernwood Dr, Millbrae, CA 94030-1011
Phone: (650) 302-5864
Mailing address: 27206 Calaroga Ave, Hayward, CA 94545-4300

Authorised official

Name: Ash Jain
Title: Ceo
Phone: (510) 796-0222

Registered specialties (2)

Long Term Care Hospital Primary

Hospitals Taxonomy 282E00000X Licence 22677 (CA)

Other Long Term Care Hospital providers in California →

Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 22677 (CA)

Other Nurse Practitioner providers in California →

Registry record

NPI: 1174955587
Entity type: Organization
NPI issued: 7 Aug 2013
Record last updated: 7 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.