Organization
ORTHOPEDIC INSTITUTE OF THE BAY AREA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERTO A BOLANOS M.D. (PRESIDENT)
(650) 262-4262
Entity
Organization
Contact information
Practice address
100 S SAN MATEO DR, SUITE 424, SAN MATEO, CA 94401-3805
(650) 262-4262
(650) 262-5862
Mailing address
100 S SAN MATEO DR, SUITE 424, SAN MATEO, CA 94401-3805
(650) 262-4262
(650) 262-5862
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G84190
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467548008
NPI
CA
01
—
BE353Z
PTAN
CA
Enumeration date
08/20/2009
Last updated
12/05/2012
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