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Contact Information

GLAUCOMA CONSULTANTS OF THE BAY AREA A MED CORP
2211 POST STREET
SUITE 401
SAN FRANCISCO, CA94115
 Phone: 415-771-4020
 Fax: 415-771-4095
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for GLAUCOMA CONSULTANTS OF THE BAY AREA A MED CORP

NPI # 1952411050
LBN Legal business name GLAUCOMA CONSULTANTS OF THE BAY AREA A MED CORP
Authorized official MARE LIEBERMAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
CA License # G42547
CA License # G78526
CA Medicaid GR0099190
Other ZZZ09878Z BLUE SHIELD OF CA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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