| Bay Area Neurocare, Inc | |
|
2550 Samaritan Dr Ste F San Jose CA 95124-4104 | |
| (408) 216-8763 | |
| (408) 416-3706 |
| Full Name | Bay Area Neurocare, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2550 Samaritan Dr Ste F, San Jose, California |
| Authorized Official Name and Position | Wei Wang (PRESIDENT) |
| Authorized Official Contact | 4082168763 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Neurocare, Inc 2550 Samaritan Dr Ste F San Jose CA 95124-4104 Ph: (408) 216-8763 | Bay Area Neurocare, Inc 2550 Samaritan Dr Ste F San Jose CA 95124-4104 Ph: (408) 216-8763 |
| NPI Number | 1124270251 |
|---|---|
| Provider Enumeration Date | 10/21/2008 |
| Last Update Date | 05/01/2020 |
| Certification Date | 05/01/2020 |
| Medicare PECOS PAC ID | 6103989553 |
|---|---|
| Medicare Enrollment ID | O20090518000268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124270251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Wei Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396704482 PECOS PAC ID: 2264459395 Enrollment ID: I20090518000261 |
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