Eternal Health Medical Of California, P.C.
Clinic/Center, Primary Care in San Francisco, CA. Organization (NPI-2).
NPI number1104795772
StatusActive
Last updated in NPPESNov 3, 2025
Details
- NPI
- 1104795772
- Entity type
- Organization (NPI-2)
- Legal business name
- Eternal Health Medical Of California, P.C.
- Organization subpart
- No
- Enumeration date
- Nov 3, 2025
- Certification date
- Oct 15, 2025
- Last updated
- Nov 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
1183 Old Mason StreetSan Francisco, CA 94123
Phone 855-621-2061
Mailing address
1183 Old Mason StreetSan Francisco, CA 94123
Authorized official
Alex Mather
Chief Administrative Officer
8556212061
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