Provider Demographics
NPI:1346446457
Name:BI-BETT
Entity Type:Organization
Organization Name:BI-BETT
Other - Org Name:GAADDS/ACFF
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CINELLI
Authorized Official - Suffix:
Authorized Official - Credentials:RAS
Authorized Official - Phone:925-798-7250
Mailing Address - Street 1:2290 DIAMOND BLVD
Mailing Address - Street 2:SUITE #200
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-5742
Mailing Address - Country:US
Mailing Address - Phone:925-798-7250
Mailing Address - Fax:925-798-3359
Practice Address - Street 1:2290 DIAMOND BLVD
Practice Address - Street 2:SUITE #202
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-5742
Practice Address - Country:US
Practice Address - Phone:925-685-7410
Practice Address - Fax:925-685-9550
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BI-BETT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-06-25
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA070001XN261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty