| Bay Senior Medical House Clinic Pc | |
|
34220 Angus Court Fremont CA 94555 | |
| (510) 417-8733 | |
| Not Available |
| Full Name | Bay Senior Medical House Clinic Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 34220 Angus Court, Fremont, California |
| Authorized Official Name and Position | Shui Leung (MANAGER) |
| Authorized Official Contact | 5104178733 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Senior Medical House Clinic Pc 39899 Balentine Dr Ste 200 Newark CA 94560-5361 Ph: (510) 417-8733 | Bay Senior Medical House Clinic Pc 34220 Angus Court Fremont CA 94555 Ph: (510) 417-8733 |
| NPI Number | 1821783903 |
|---|---|
| Provider Enumeration Date | 04/06/2023 |
| Last Update Date | 03/25/2024 |
| Medicare PECOS PAC ID | 3678925773 |
|---|---|
| Medicare Enrollment ID | O20240113000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821783903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Abdelsalam M Mogasbe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891868550 PECOS PAC ID: 1355433079 Enrollment ID: I20070824000593 |
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