Organization
BAY AREA COMMUNITY HEALTH
Active
Other names
Bay Area Community Health Irvington Dave Clinic II - Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
JAGAT SHETH (CFO)
(510) 252-6810
Entity
Organization
Contact information
Practice address
40930 FREMONT BLVD, FREMONT, CA 94538-4375
(510) 770-8040
Mailing address
40910 FREMONT BLVD, FREMONT, CA 94538-4375
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780054379
—
CA
Enumeration date
12/17/2020
Last updated
05/07/2021
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