Organization
ERIC D. BAVA, M.D. , INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENNA A GONZALEZ (OFFICE MANAGER)
(760) 946-0020
Entity
Organization
Contact information
Practice address
1550G TIBURON BLVD # 416, TIBURON, CA 94920-2521
(626) 437-4124
Mailing address
1550G TIBURON BLVD # 416, TIBURON, CA 94920-2521
(626) 437-4124
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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