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Organization
SUTTER WEST BAY MEDICAL FOUNDATION
Active
Organization
SUTTER WEST BAY MEDICAL FOUNDATION
Active
Parent organization
SUTTER WEST BAY MEDICAL FOUNDATION
Other names
Sutter Pacific Medical Foundation
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUTTER WEST BAY MEDICAL FOUNDATION
Authorized official
JOHN GATES MD (RCFO)
(415) 600-7755
Entity
Organization
Contact information
Practice address
750 LAS GALLINAS AVE, #210, SAN RAFAEL, CA 94903-3438
(415) 479-7244
(415) 479-0917
Mailing address
PO BOX 254947, SACRAMENTO, CA 95865-4947
(916) 854-6975
(916) 854-6844
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
05/14/2009
Last updated
09/25/2013
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