Sutter West Bay Medical Foundation
NPI #1124252416 in San Rafael, California
Provider Information
- NPI Number
- 1124252416
- Entity Type
- Organization
- Organization Name
- Sutter West Bay Medical Foundation
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SUTTER WEST BAY MEDICAL FOUNDATION
- Primary Specialty
- Pediatrics
- Enumeration Date
- May 14, 2009
- Last Updated
- Sep 25, 2013
Practice Location
- Address
- 750 LAS GALLINAS AVE
- Address 2
- #210
- City
- San Rafael
- State
- California
- ZIP Code
- 94903-3438
- Phone
- (415) 479-7244
Authorized Official
- Name
- JOHN GATES, MD
- Title
- RCFO
- Phone
- (415) 600-7755
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Internal Medicine |
| Obstetrics & Gynecology |
| Nurse Practitioner - Pediatrics — Pediatrics |
| Pediatrics |
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