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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ACTIVE MEDICAL GROUP OF NORTHERN CA A PROFFESIONAL CORPORATION

Active Organization

ACTIVE MEDICAL GROUP OF NORTHERN CA A PROFFESIONAL CORPORATION is a Internal Medicine organization located in DALY CITY, California. NPI 1639254501 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · DALY CITY, CA

Registration Details

NPI Number
1639254501
Provider Type
Organization
NPI Issued
Oct 26, 2006 (19.779095314754 yrs)
Last Updated
Nov 9, 2017
License
G59110 (CA)

Practice Information

Address
1800 SULLIVAN AVE
SUITE 504
DALY CITY, CA, 940152228
Browse CA providers · Browse ZIP 94015
Phone
6507578900
Primary Specialty
Internal Medicine
207R00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.