Organization
ISABELL BEDDOW MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISABELL BEDDOW M.D. (PRESIDENT)
(650) 558-0611
Entity
Organization
Contact information
Practice address
1 BAYWOOD AVE STE 5, SAN MATEO, CA 94402-1537
(650) 558-0611
(650) 558-0613
Mailing address
1 BAYWOOD AVE STE 5, SAN MATEO, CA 94402-1537
(650) 558-0611
(650) 558-0613
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A69848
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942374269
MY INDIVIDUAL NPI NUMBER
CA
Enumeration date
04/28/2010
Last updated
05/06/2010
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