Provider Demographics
NPI:1205140340
Name:BAY MEDICAL COMPANY, INC
Entity type:Organization
Organization Name:BAY MEDICAL COMPANY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLY
Authorized Official - Middle Name:J
Authorized Official - Last Name:CHANG
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:415-508-0900
Mailing Address - Street 1:400 TALBERT ST
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94014-1623
Mailing Address - Country:US
Mailing Address - Phone:415-508-0900
Mailing Address - Fax:415-508-0100
Practice Address - Street 1:400 TALBERT ST
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94014-1623
Practice Address - Country:US
Practice Address - Phone:415-508-0900
Practice Address - Fax:415-508-0100
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BAY MEDICAL COMPANY , INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-07-30
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies