Provider Demographics
NPI:1497257950
Name:BAYCHILDREN'S PHYSICIANS
Entity Type:Organization
Organization Name:BAYCHILDREN'S PHYSICIANS
Other - Org Name:UBCP OBGYN WALNUT CREEK
Other - Org Type:Other Name
Authorized Official - Title/Position:ASSOC DIRECTOR REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HALLGREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-476-4404
Mailing Address - Street 1:6475 CHRISTIE AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:EMERYVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94608-2263
Mailing Address - Country:US
Mailing Address - Phone:415-476-4407
Mailing Address - Fax:415-353-2198
Practice Address - Street 1:2970 CAMINO DIABLO STE 200
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94597-4001
Practice Address - Country:US
Practice Address - Phone:925-979-9360
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BAYCHILDREN'S PHYSICIANS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-03-01
Last Update Date:2018-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty