Organization
BAY FAMILY MEDICAL GROUP, INC.
Active
Other names
Bay Family Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSIE TAN-CANTIGA (PRACTICE MANAGER)
(650) 348-0454
Entity
Organization
Contact information
Practice address
50 S SAN MATEO DR STE 230, SAN MATEO, CA 94401-3842
(650) 348-0454
(650) 348-7923
Mailing address
50 S SAN MATEO DR STE 230, SAN MATEO, CA 94401-3842
(650) 340-6040
(650) 348-7923
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94-29877982
DR. ALEXANDER MOLDANADO
CA
01
—
ZZZ141372
MICHELE LOBITZ, FNP
CA
Enumeration date
10/12/2006
Last updated
02/25/2022
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