Organization
BAYSHORE OPHTHALMIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NISREEN KOTHARI MD (OWNER)
(248) 760-9236
Entity
Organization
Contact information
Practice address
162 CLINTON ST, REDWOOD CITY, CA 94062-1552
(650) 369-2529
Mailing address
250 KING ST UNIT 432, SAN FRANCISCO, CA 94107-5488
(248) 760-9236
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A144488
CA
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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