# BAY AREA REHABILITATION MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295738805
- **Authorized official:** HERBERT GOODMAN M.D. (PARTNER)
- **Authorized official phone:** (510) 204-4411

## Contact information

- **Practice address:** 2001 DWIGHT WAY, BERKELEY, CA 94704-2608
- **Practice address phone:** (510) 204-4411
- **Mailing address:** 2250 HAYES ST, SAN FRANCISCO, CA 94117-1013
- **Mailing address phone:** (415) 750-5761
- **Mailing address fax:** (415) 666-0210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | G192980 | CA | Yes |

## Other

- **Enumeration date:** 05/27/2005
- **Last updated:** 05/14/2008
