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NPI Code Detail

MEDICARE: BAKER PLACES, INC

MEDICARE: BAKER PLACES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency380001CNCA

General Provider Information

NPI Number : 1659760510
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAKER PLACES, INC
Provider Business Mailing Address
First Line : 170 9TH ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94103-2603
Country : US
Telephone Number : 415-972-0843
Fax Number :
Provider Business Practice Location Address
First Line : 1249 SCOTT ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94115-4008
Country : US
Telephone Number : 415-922-9104
Fax Number : 415-922-1427
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : CHUAN TENG
Credential :
Telephone Number : 415-972-0821
Provider Enumeration Date : 01/15/2015
Last Update Date : 11/15/2024

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