Individual
LOC BAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 W HOSPITAL RD, FRENCH CAMP, CA 95231-9693
(209) 468-6000
Mailing address
3037 VINTAGE WAY, MOODY, AL 35004-3057
(205) 396-9132
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-133132
AL
163W00000X
Registered Nurse
837202
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95000659
CA
Other
Enumeration date
12/13/2016
Last updated
01/27/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us