Provider Demographics
NPI:1497380638
Name:BAY AREA MEDICAL AND SURGICAL GROUP
Entity Type:Organization
Organization Name:BAY AREA MEDICAL AND SURGICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GREGORY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-596-3022
Mailing Address - Street 1:490 POST ST STE 530
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-1412
Mailing Address - Country:US
Mailing Address - Phone:415-596-3022
Mailing Address - Fax:415-955-8551
Practice Address - Street 1:490 POST ST STE 530
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-1412
Practice Address - Country:US
Practice Address - Phone:415-596-3022
Practice Address - Fax:415-955-8551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-09
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty