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Organization

SUTTER WEST BAY MEDICAL FOUNDATION

Active
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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
MR. JOHN GATES (RCFO)
(415) 600-7755
Entity
Organization

Contact information

Practice address
100 S SAN MATEO DR, SAN MATEO, CA 94401-3805
(650) 695-4901
(650) 696-4022
Mailing address
PO BOX 254947, SACRAMENTO, CA 95865-4947
(916) 854-6975
(916) 854-6844

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207W00000X
Ophthalmology Physician
—
—

Other

Enumeration date
05/14/2009
Last updated
09/25/2013
About Stedi
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