Organization
BAYCHILDREN'S MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN APPENZELLER RN, MSN (EXECUTIVE DIRECTOR)
(415) 476-7220
Entity
Organization
Contact information
Practice address
6475 CHRISTIE AVE, SUITE 300, EMERYVILLE, CA 94608-1095
(415) 476-7220
Mailing address
6475 CHRISTIE AVE, SUITE 300, EMERYVILLE, CA 94608-1095
(415) 476-7220
(415) 353-8200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
01/16/2015
Last updated
07/14/2015
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