Organization
ALTA BATES MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES SLAGGERT (CHEIF EXECUTIVE OFFICE)
(510) 596-4782
Entity
Organization
Contact information
Practice address
2000 POWELL ST, 200, EMERYVILLE, CA 94608-1804
(510) 596-4780
(510) 596-4785
Mailing address
2000 POWELL STREET, 200, EMERYVILLE, CA 94608
(510) 596-4780
(510) 596-4785
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
1177151
CA
Other
Enumeration date
06/07/2007
Last updated
08/22/2020
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