| Bay Pediatric Development | |
|
111 Deerwood Rd Ste 395 San Ramon CA 94583-1530 | |
| (415) 895-0207 | |
| Not Available |
| Full Name | Bay Pediatric Development |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 111 Deerwood Rd Ste 395, San Ramon, California |
| Authorized Official Name and Position | Anamercedes Yeganeh (PROGRAM DIRECTOR) |
| Authorized Official Contact | 4155792731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Pediatric Development 111 Deerwood Rd Ste 395 San Ramon CA 94583-1530 Ph: (415) 895-0207 | Bay Pediatric Development 111 Deerwood Rd Ste 395 San Ramon CA 94583-1530 Ph: (415) 895-0207 |
| NPI Number | 1184085979 |
|---|---|
| Provider Enumeration Date | 03/08/2016 |
| Last Update Date | 03/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184085979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MFC32136 (California) | Primary |
| 252Y00000X | Early Intervention Provider Agency | MFC32136 (California) | Secondary |
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