| Bay Valley Medical Group, Inc | |
|
27212 Calaroga Ave Hayward CA 94545-4339 | |
| (510) 785-5000 | |
| (510) 293-5606 |
| Full Name | Bay Valley Medical Group, Inc |
|---|---|
| Speciality | General Practice |
| Location | 27212 Calaroga Ave, Hayward, California |
| Authorized Official Name and Position | Matthew Burdusis (MANAGER OF INFORMATION SYSTEMS) |
| Authorized Official Contact | 5107855000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Valley Medical Group, Inc 27212 Calaroga Ave Hayward CA 94545-4339 Ph: (510) 785-5000 | Bay Valley Medical Group, Inc 27212 Calaroga Ave Hayward CA 94545-4339 Ph: (510) 785-5000 |
| NPI Number | 1407877269 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 04/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407877269 | NPI | - | NPPES |
| 05D0599092 | Other | CA | CLIA |
| GR0024010 | Other | CA | MEDICAL PROVIDER NUMBER |
| ZZZ81610Z | Other | CA | MEDICAL LAB PROVIDER NUMBER |
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