| Nihon Bay Clinic | |
|
40 N San Mateo Dr Nihon Bay Clinic San Mateo CA 94401-2824 | |
| (650) 558-0337 | |
| (650) 558-9364 |
| Full Name | Nihon Bay Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 40 N San Mateo Dr, San Mateo, California |
| Authorized Official Name and Position | Masayasu Kihira (FAMILY PRACTITIONER MEDICAL DIRECTO) |
| Authorized Official Contact | 6505580337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nihon Bay Clinic 40 N San Mateo Dr Nihon Bay Clinic San Mateo CA 94401-2824 Ph: (650) 558-0337 | Nihon Bay Clinic 40 N San Mateo Dr Nihon Bay Clinic San Mateo CA 94401-2824 Ph: (650) 558-0337 |
| NPI Number | 1770540858 |
|---|---|
| Provider Enumeration Date | 05/01/2006 |
| Last Update Date | 08/24/2010 |
| Medicare PECOS PAC ID | 7810962867 |
|---|---|
| Medicare Enrollment ID | O20040901000796 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770540858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Masayasu Kihira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851358071 PECOS PAC ID: 3870568827 Enrollment ID: I20040902000672 |
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