# GOLDEN GATE UROLOGY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326585449
- **Authorized official:** SARA BETANCOURT (VP, FINANCE AND ADMINISTRATION)
- **Authorized official phone:** (415) 543-2812

## Contact information

- **Practice address:** 2999 REGENT ST, SUITE 612 & 626, BERKELEY, CA 94705-2190
- **Practice address phone:** (510) 495-3332
- **Practice address fax:** (510) 848-8224
- **Mailing address:** 2999 REGENT ST, SUITE 612, BERKELEY, CA 94705-2190
- **Mailing address phone:** (510) 495-3332
- **Mailing address fax:** (510) 848-8224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | A71078 | CA | Yes |

## Other

- **Enumeration date:** 01/26/2017
- **Last updated:** 07/24/2023