| Bay Area Pain Rehab Professional Corporation | |
|
429 Llewellyn Ave Campbell CA 95008-1948 | |
| (408) 364-1616 | |
| Not Available |
| Full Name | Bay Area Pain Rehab Professional Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 429 Llewellyn Ave, Campbell, California |
| Authorized Official Name and Position | Mikiko Murakami (CEO) |
| Authorized Official Contact | 4152466080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Pain Rehab Professional Corporation 4415 Saint Andrews Rd Oakland CA 94605-4531 Ph: (415) 246-6080 | Bay Area Pain Rehab Professional Corporation 429 Llewellyn Ave Campbell CA 95008-1948 Ph: (408) 364-1616 |
| NPI Number | 1053879395 |
|---|---|
| Provider Enumeration Date | 03/05/2019 |
| Last Update Date | 11/10/2022 |
| Medicare PECOS PAC ID | 5698008688 |
|---|---|
| Medicare Enrollment ID | O20190606000375 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053879395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Secondary |
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