| Bay Area Mobile Medical Group, Inc. | |
|
121 Paul Dr Ste A San Rafael CA 94903-2047 | |
| (415) 766-1569 | |
| Not Available |
| Full Name | Bay Area Mobile Medical Group, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 121 Paul Dr Ste A, San Rafael, California |
| Authorized Official Name and Position | Izah Singerman (OFFICE MANAGER) |
| Authorized Official Contact | 4157661569 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Mobile Medical Group, Inc. 121 Paul Dr Ste A San Rafael CA 94903-2047 Ph: (415) 766-1569 | Bay Area Mobile Medical Group, Inc. 121 Paul Dr Ste A San Rafael CA 94903-2047 Ph: (415) 766-1569 |
| NPI Number | 1265187272 |
|---|---|
| Provider Enumeration Date | 02/17/2022 |
| Last Update Date | 04/12/2023 |
| Medicare PECOS PAC ID | 7911384144 |
|---|---|
| Medicare Enrollment ID | O20220510000203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265187272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Robert Assibey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942739487 PECOS PAC ID: 6305262965 Enrollment ID: I20200813002657 |
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