Healthcare Provider Details

I. General information

NPI: 1972149748
Provider Name (Legal Business Name): BAY AREA NEUROINTENSIVISTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2019
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 LENNON LN
WALNUT CREEK CA
94598-2497
US

IV. Provider business mailing address

PO BOX 923066
SYLMAR CA
91392-3066
US

V. Phone/Fax

Practice location:
  • Phone: 925-437-8841
  • Fax:
Mailing address:
  • Phone: 818-366-6262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MOUSSA F YAZBECK
Title or Position: PRESIDENT
Credential: M.D.
Phone: 925-726-3876