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NPI Code Detail

MEDICARE: BAY AREA CLINICAL ASSOCIATES, P.C.

MEDICARE: BAY AREA CLINICAL ASSOCIATES, P.C.
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
12084P0804XChild & Adolescent Psychiatry Physician
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1801370853
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAY AREA CLINICAL ASSOCIATES, P.C.
Provider Business Mailing Address
First Line : 1175 SARATOGA AVE STE 14
Second Line :
City : SAN JOSE
State : CA
Zip : 95129-3427
Country : US
Telephone Number : 408-996-7950
Fax Number :
Provider Business Practice Location Address
First Line : 3010 COLBY ST STE 221
Second Line :
City : BERKELEY
State : CA
Zip : 94705-2056
Country : US
Telephone Number : 510-922-9757
Fax Number :
Authorized Official
Title or Position : FINANCE DIRECTOR
Name : BRANDI MUNIZ
Credential :
Telephone Number : 408-996-7950
Provider Enumeration Date : 09/16/2018
Last Update Date : 08/19/2019

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