# MEREDITH BEAN, MD, INC.

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

## Provider details

- **NPI number:** 1750754180
- **Authorized official:** MEREDITH BEAN M.D. (PRESIDENT)
- **Authorized official phone:** (303) 709-2216

## Contact information

- **Practice address:** 900 HYDE ST, 11TH FLOOR, SAN FRANCISCO, CA 94109-4806
- **Practice address phone:** (415) 353-6400
- **Practice address fax:** (415) 353-6401
- **Mailing address:** 2625 ALCATRAZ AVE, \#178, BERKELEY, CA 94705-2702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | A078993 | CA | Yes |

## Other

- **Enumeration date:** 11/06/2015
- **Last updated:** 11/06/2015