| Baycare Medical Group, Inc. | |
|
360 Dardanelli Lane Ste. 2c Los Gatos CA 95032 | |
| (408) 402-2452 | |
| (408) 370-0330 |
| Full Name | Baycare Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 360 Dardanelli Lane, Los Gatos, California |
| Authorized Official Name and Position | Richard Brian Fox (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4084022452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baycare Medical Group, Inc. 20 S. Santa Cruz Avenue Ste. 300 Los Gatos CA 95030 Ph: (408) 402-2452 | Baycare Medical Group, Inc. 360 Dardanelli Lane Ste. 2c Los Gatos CA 95032 Ph: (408) 402-2452 |
| NPI Number | 1750446985 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 01/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750446985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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