# STANFORD HEALTH CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stanford Health Care Emeryville 5800
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275076325
- **Authorized official:** LARUE PERKINS (SENIOR MANAGER)
- **Authorized official phone:** (650) 498-5785

## Contact information

- **Practice address:** 5800 HOLLIS ST, EMERYVILLE, CA 94608-2016
- **Practice address phone:** (650) 498-5785
- **Mailing address:** 5800 HOLLIS ST, EMERYVILLE, CA 94608-2016

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 070000662 | CA | — |
| 207N00000X | Dermatology Physician | 070000662 | CA | — |
| 207P00000X | Emergency Medicine Physician | 070000662 | CA | — |
| 207R00000X | Internal Medicine Physician | 070000662 | CA | — |
| 207T00000X | Neurological Surgery Physician | 070000662 | CA | — |
| 207V00000X | Obstetrics & Gynecology Physician | 070000662 | CA | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 070000662 | CA | — |
| 208000000X | Pediatrics Physician | 070000662 | CA | — |
| 2084N0400X | Neurology Physician | 070000662 | CA | — |
| 2085R0202X | Diagnostic Radiology Physician | 070000662 | CA | — |
| 208600000X | Surgery Physician | 070000662 | CA | — |
| 208800000X | Urology Physician | 070000662 | CA | — |
| 208D00000X | General Practice Physician | 070000662 | CA | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 070000662 | CA | — |
| 282N00000X | General Acute Care Hospital | 070000662 | CA | Yes |

## Other

- **Enumeration date:** 11/22/2016
- **Last updated:** 03/07/2017