Organization
BAYSIDE MOBILE MEDICAL SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN DAVID CRON CPT, CNA, EMT (PRESIDENT CEO PHLEBOTOMIST)
(415) 608-2174
Entity
Organization
Contact information
Practice address
390 BARTLETT ST APT 9, SAN FRANCISCO, CA 94110-3856
(415) 608-2174
(925) 849-4402
Mailing address
390 BARTLETT ST APT 9, SAN FRANCISCO, CA 94110-3856
(415) 608-2174
(925) 849-4402
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
CPT16284
CA
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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