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Organization
SANDRA BERETTA, M D, INC
Active
Organization
SANDRA BERETTA, M D, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA BERETTA MD (PHYSICIAN)
(650) 344-1114
Entity
Organization
Contact information
Practice address
136 N SAN MATEO DR, SUITE 101, SAN MATEO, CA 94401-2777
(650) 344-1114
(650) 344-2274
Mailing address
136 N SAN MATEO DR, SUITE 101, SAN MATEO, CA 94401-2777
(650) 344-1114
(650) 344-2274
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G068308
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G683080
MEDI-CAL ID
—
Enumeration date
05/30/2008
Last updated
07/05/2023
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