# BAY AREA OSTEOPATHIC, INC.

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

## Provider details

- **NPI number:** 1639442486
- **Authorized official:** DR. SUSAN CISLO DO (PRESIDENT)
- **Authorized official phone:** (707) 317-4070

## Contact information

- **Practice address:** 3417 VALLE VERDE DR, NAPA, CA 94558-2414
- **Practice address phone:** (707) 255-4172
- **Mailing address:** 110 W AMERICAN CANYON RD, SUITE L-4 PMB 142, AMERICAN CANYON, CA 94503-4196
- **Mailing address phone:** (707) 317-4070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | CA | Yes |

## Other

- **Enumeration date:** 02/09/2012
- **Last updated:** 02/09/2012
