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 |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1770624363 PECOS PAC ID: 0345617551 Enrollment ID: I20221102000215 |
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