Organization
NORTH BAY NEUROLOGIC MEDICAL ASSOCIATES, INC.
Active
Organization
NORTH BAY NEUROLOGIC MEDICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RICHARD MENDIUS MD (OWNER)
(415) 464-0411
Entity
Organization
Contact information
Practice address
1000 S ELISEO DR STE 204, GREENBRAE, CA 94904-2151
(415) 464-0411
Mailing address
1000 S ELISEO DR STE 204, GREENBRAE, CA 94904-2151
(415) 464-0411
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G403210
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G403210
—
CA
01
—
1235230384
NPI
CA
01
—
1295765881
NPI
CA
Enumeration date
11/12/2007
Last updated
04/04/2008
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