| Side By Side | |
|
22245 Main St Suites 102, 200-215 Hayward CA 94541-4028 | |
| (510) 727-9401 | |
| (510) 727-9405 |
| Full Name | Side By Side |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 22245 Main St, Hayward, California |
| Authorized Official Name and Position | Christine Garcia (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4154573200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Side By Side 22245 Main St Suite 200 Hayward CA 94541-4028 Ph: (510) 727-9401 | Side By Side 22245 Main St Suites 102, 200-215 Hayward CA 94541-4028 Ph: (510) 727-9401 |
| NPI Number | 1174775639 |
|---|---|
| Provider Enumeration Date | 10/15/2008 |
| Last Update Date | 07/11/2024 |
| Certification Date | 07/11/2024 |
| Medicare PECOS PAC ID | 7517144900 |
|---|---|
| Medicare Enrollment ID | O20110613000466 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174775639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Rebecca Hathorn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770624363 PECOS PAC ID: 0345617551 Enrollment ID: I20221102000215 |
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