| Baker Street Medical Group (de), P.a. | |
|
1764 Hamlet St San Mateo CA 94403-1111 | |
| (301) 706-4461 | |
| Not Available |
| Full Name | Baker Street Medical Group (de), P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1764 Hamlet St, San Mateo, California |
| Authorized Official Name and Position | Alex Mohseni (PRESIDENT) |
| Authorized Official Contact | 3017064461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baker Street Medical Group (de), P.a. 1764 Hamlet St San Mateo CA 94403-1111 Ph: (301) 706-4461 | Baker Street Medical Group (de), P.a. 1764 Hamlet St San Mateo CA 94403-1111 Ph: (301) 706-4461 |
| NPI Number | 1336892637 |
|---|---|
| Provider Enumeration Date | 01/27/2022 |
| Last Update Date | 05/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336892637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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