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Contact Information

BAY AREA COMPREHENSIVE SPINE AND SPORTS MEDICAL GROUP INC
5700 TELEGRAPH AVE STE 100
OAKLAND, CA94609-1710
 Phone: 510-463-4700
 Fax: 510-463-4722
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for BAY AREA COMPREHENSIVE SPINE AND SPORTS MEDICAL GROUP INC

NPI # 1205928645
LBN Legal business name BAY AREA COMPREHENSIVE SPINE AND SPORTS MEDICAL GROUP INC
Authorized official MICHAEL PARK - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/29/2006
Last updated 10/09/2019 - About 7 years ago
Identifiers n/a
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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