Provider Demographics
NPI:1104263557
Name:BAYREY INC.
Entity type:Organization
Organization Name:BAYREY INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VLADIMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:BELOSHAPKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-271-3019
Mailing Address - Street 1:15 PINNACLE ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-7332
Mailing Address - Country:US
Mailing Address - Phone:650-525-0555
Mailing Address - Fax:
Practice Address - Street 1:851 BURLWAY RD
Practice Address - Street 2:SUITE # 505
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-1720
Practice Address - Country:US
Practice Address - Phone:650-525-0555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-24
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health