Organization
ALTA BATES SUMMIT MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PETRINA (CFO)
(510) 869-6899
Entity
Organization
Contact information
Practice address
2450 ASHBY AVE, BERKELEY, CA 94705-2067
(510) 869-8244
Mailing address
350 HAWTHORNE AVE, OAKLAND, CA 94609-3108
(510) 869-8244
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
140000004
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZR000305F
—
CA
Enumeration date
02/08/2007
Last updated
01/20/2022
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