Organization
ALTA BATES SUMMIT MEDICAL CENTER
Active
Other names
Merritt Peralta Insititute
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GATES (CFO SHBA)
(510) 450-7357
Entity
Organization
Contact information
Practice address
350 HAWTHORNE AVE, OAKLAND, CA 94609-3108
(510) 869-8850
Mailing address
PO BOX 742920, LOS ANGELES, CA 90074-2920
(855) 398-1633
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
140000232
CA
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
CA
Other
Enumeration date
02/05/2007
Last updated
01/20/2022
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