Provider Demographics
NPI:1225191026
Name:BAYAREA HYPERBARICS
Entity Type:Organization
Organization Name:BAYAREA HYPERBARICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:ST. JOHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-356-7438
Mailing Address - Street 1:14589 S BASCOM AVE
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-2026
Mailing Address - Country:US
Mailing Address - Phone:408-356-7438
Mailing Address - Fax:408-356-7491
Practice Address - Street 1:14589 S BASCOM AVE
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-2026
Practice Address - Country:US
Practice Address - Phone:408-356-7438
Practice Address - Fax:408-356-7491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center