Individual
DR. AMY BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
45 CASTRO ST STE 402, SAN FRANCISCO, CA 94114-1040
(415) 600-4750
(415) 369-1314
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(415) 600-4750
(415) 369-1314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1165025
CA
207RI0200X
Infectious Disease Physician
1165025
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A146447
STATE MEDICAL LICENSE
CA
Enumeration date
04/13/2015
Last updated
03/07/2023
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