Organization
BAY AREA DIGESTIVE HEALTH MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZA YASUMATSU (MEDICAL BILLER)
(650) 756-5000
Entity
Organization
Contact information
Practice address
1850 SULLIVAN AVE, SUITE 520, DALY CITY, CA 94015-2221
(650) 756-5000
(650) 756-5903
Mailing address
1850 SULLIVAN AVE, SUITE 520, DALY CITY, CA 94015-2221
(650) 756-5000
(650) 756-5903
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0092050
—
CA
Enumeration date
11/08/2006
Last updated
03/11/2008
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