Bay Area Wellness Center | |
101 S San Mateo Dr Ste 303 San Mateo CA 94401-3844 | |
(650) 692-7545 | |
(650) 692-7609 |
Full Name | Bay Area Wellness Center |
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Speciality | Internal Medicine |
Location | 101 S San Mateo Dr Ste 303, San Mateo, California |
Authorized Official Name and Position | Jinping Ou (MANAGER) |
Authorized Official Contact | 6506927545 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bay Area Wellness Center 101 S San Mateo Dr Ste 303 San Mateo CA 94401-3844 Ph: (650) 692-7545 | Bay Area Wellness Center 101 S San Mateo Dr Ste 303 San Mateo CA 94401-3844 Ph: (650) 692-7545 |
NPI Number | 1790841948 |
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Provider Enumeration Date | 12/29/2006 |
Last Update Date | 04/26/2024 |
Medicare PECOS PAC ID | 4082528971 |
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Medicare Enrollment ID | O20040511000555 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790841948 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (California) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Provider Name | Frank Tortorice |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457540551 PECOS PAC ID: 7618960188 Enrollment ID: I20040521001155 |
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