Healthcare Provider Details

I. General information

NPI: 1720993009
Provider Name (Legal Business Name): BAYFORD MOBILE MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 S AIRPORT BLVD STE C
SOUTH SAN FRANCISCO CA
94080-6912
US

IV. Provider business mailing address

500 S AIRPORT BLVD STE C
SOUTH SAN FRANCISCO CA
94080-6912
US

V. Phone/Fax

Practice location:
  • Phone: 650-847-4113
  • Fax:
Mailing address:
  • Phone: 650-847-4113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AOI PRESCILLE C LIPAR
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 919-601-5624