Sutter West Bay Medical Foundation

NPI #1720212012 in Berkeley, California

Provider Information

NPI Number
1720212012
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
3000 COLBY ST
Address 2
#205
ZIP Code
94705-2083
Phone
(510) 776-4143

Authorized Official

Name
MR. JOHN GATES
Title
RCFO
Phone
(415) 600-7755

Specialties & Taxonomy Codes

Specialty
Internal Medicine - HepatologyHepatology
Internal Medicine - NephrologyNephrology
Ophthalmology
Pediatrics - Pediatric EndocrinologyPediatric Endocrinology
Pediatrics

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