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Organization

BAYCHILDREN'S PHYSICIANS

Active
Parent organization
BAYCHILDREN'S PHYSICIANS
Other names
UBCP Bancroft Pediatrics
Organization subpart
Yes

Provider details

NPI number
Legal business name
BAYCHILDREN'S PHYSICIANS
Authorized official
MITCHELL NEYHART (CHIEF EXECUTIVE OFFICER)
(415) 476-4407
Entity
Organization

Contact information

Practice address
1555 DOOLITTLE DR, #180, SAN LEANDRO, CA 94577-2239
(510) 483-2600
Mailing address
6475 CHRISTIE AVE, SUITE 300, EMERYVILLE, CA 94608-1095

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
03/17/2017
Last updated
03/17/2017
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