Provider Demographics
NPI:1669293775
Name:BAY AREA ENDOCRINOLOGY PC
Entity type:Organization
Organization Name:BAY AREA ENDOCRINOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMER
Authorized Official - Middle Name:
Authorized Official - Last Name:BUDAYR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:925-386-6001
Mailing Address - Street 1:183 MORAGA WAY
Mailing Address - Street 2:
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-3442
Mailing Address - Country:US
Mailing Address - Phone:415-336-4930
Mailing Address - Fax:
Practice Address - Street 1:655 REDWOOD HWY FRONTAGE RD STE 102
Practice Address - Street 2:
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-3046
Practice Address - Country:US
Practice Address - Phone:415-569-4470
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMER BUDAYR MD ENDOCRINOLOGY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty