| Bay Area Medrehab | |
|
1609 Trousdale Dr Burlingame CA 94010-4520 | |
| (650) 227-3284 | |
| (650) 227-3288 |
| Full Name | Bay Area Medrehab |
|---|---|
| Speciality | Internal Medicine |
| Location | 1609 Trousdale Dr, Burlingame, California |
| Authorized Official Name and Position | Thomas Booth (PRESIDENT) |
| Authorized Official Contact | 6502273284 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Medrehab 2001 Winward Way Ste 101 San Mateo CA 94404-2499 Ph: (650) 288-0596 | Bay Area Medrehab 1609 Trousdale Dr Burlingame CA 94010-4520 Ph: (650) 227-3284 |
| NPI Number | 1902263767 |
|---|---|
| Provider Enumeration Date | 01/25/2016 |
| Last Update Date | 10/05/2022 |
| Medicare PECOS PAC ID | 8022314905 |
|---|---|
| Medicare Enrollment ID | O20160303001095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902263767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G69034 (California) | Primary |
| Provider Name | Thomas E Booth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245278027 PECOS PAC ID: 3678538790 Enrollment ID: I20041130000712 |
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