Organization
BAY AREA CARDIOVASCULAR MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN THOMAS MEHIGAN M.D. (PRESIDENT)
(510) 791-1005
Entity
Organization
Contact information
Practice address
39300 CIVIC CENTER DR, #140, FREMONT, CA 94538-2338
(510) 791-1005
(510) 791-2874
Mailing address
39300 CIVIC CENTER DR, #140, FREMONT, CA 94538-2338
(510) 791-1005
(510) 791-2874
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
G16196
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ80072Z
—
CA
Enumeration date
01/02/2007
Last updated
08/22/2020
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