Organization
GOLDEN GATE UROLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA BETANCOURT (VP, FINANCE AND ADMINISTRATION)
(415) 543-2812
Entity
Organization
Contact information
Practice address
2999 REGENT ST, SUITE 612 & 626, BERKELEY, CA 94705-2190
(510) 495-3332
(510) 848-8224
Mailing address
2999 REGENT ST, SUITE 612, BERKELEY, CA 94705-2190
(510) 495-3332
(510) 848-8224
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
A71078
CA
Other
Enumeration date
01/26/2017
Last updated
07/24/2023
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