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General NPI Number Information
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NPI Number | 1972494748
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Entity Type | Organization
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Legal Business Name | BIOGRAPH PROVIDERS OF CALIFORNIA, P.C.
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 2850 S DELAWARE ST STE 100
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City | SAN MATEO
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State | CA
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Zip | 94403-2575
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Country | US
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Telephone | 415-226-6918
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Fax |
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Provider Business Mailing Address
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Address Line | 2850 S DELAWARE ST STE 100
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City | SAN MATEO
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State | CA
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Zip | 94403-2575
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Country | US
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Telephone | 415-226-6918
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | FELEMA NEGUSE
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Credential |
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Telephone | 415-226-6918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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