Organization
BAY WELLNESS
Active
Other names
Bay Orthopedic Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
THEODROS SHAWL DC (PRESIDENT)
(510) 469-4741
Entity
Organization
Contact information
Practice address
5715 MARKET ST STE #D, OAKLAND, CA 94608
(510) 469-4741
(510) 654-4209
Mailing address
5715 MARKET ST STE D, OAKLAND, CA 94608-2811
(510) 469-4741
(510) 654-4206
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/18/2017
Last updated
03/26/2019
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