Organization
BAART PROGRAMS SAN MATEO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGILENY ALOBA (CLINIC DIRECTOR)
(650) 324-1470
Entity
Organization
Contact information
Practice address
795 WILLOW RD BLDG 332, MENLO PARK, CA 94025-2539
(650) 324-1470
Mailing address
795 WILLOW RD BLDG 332, MENLO PARK, CA 94025-2539
(650) 324-1470
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
10330-M
CA
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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