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 B. GATES (CHIEF FINANCIAL OFFICER)
(415) 600-7771
Entity
Organization
Contact information
Practice address
3883 AIRWAY DRIVE, SUITE 202, SANTA ROSA, CA 95403-1671
(707) 521-8900
(707) 523-1302
Mailing address
1700 CALIFORNIA STREET, SUITE 530, SAN FRANCISCO, CA 94109-4591
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/14/2009
Last updated
05/21/2010
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