Organization
BAYCHILDREN'S PHYSICIANS
Active
Parent organization
BAYCHILDERN'S PHYSICIANS
Other names
UBCP MFM PDC Walnut Creek
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAYCHILDERN'S PHYSICIANS
Authorized official
JULIE HALLGREN (ASSOC DIRECTOR REVENUE CYCLE)
(415) 476-4404
Entity
Organization
Contact information
Practice address
2970 CAMINO DIABLO STE 210, WALNUT CREEK, CA 94597
(925) 979-9350
Mailing address
6475 CHRISTIE AVE STE 300, EMERYVILLE, CA 94608-2263
(415) 476-4407
(415) 353-2198
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922124866
—
CA
Enumeration date
02/28/2018
Last updated
07/26/2018
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