Provider Demographics
NPI:1851798839
Name:BAY AREA MATERNITY MIDWIFERY, REGISTERED NURSING AND WOMEN'S HEALTH
Entity Type:Organization
Organization Name:BAY AREA MATERNITY MIDWIFERY, REGISTERED NURSING AND WOMEN'S HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:BYRNE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-883-8233
Mailing Address - Street 1:10430 S DE ANZA BLVD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-3019
Mailing Address - Country:US
Mailing Address - Phone:408-883-8233
Mailing Address - Fax:408-883-8211
Practice Address - Street 1:10430 S DE ANZA BLVD
Practice Address - Street 2:SUITE 230
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-3019
Practice Address - Country:US
Practice Address - Phone:408-883-8233
Practice Address - Fax:408-883-8211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-19
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95001444261QA0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility