Organization
ALTA BATES SUMMIT MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN TRENT HUNTER (VP SHARED SERVICES)
(916) 297-8555
Entity
Organization
Contact information
Practice address
350 HAWTHORNE AVE, OAKLAND, CA 94609-3108
(510) 655-4000
Mailing address
PO BOX 742920, LOS ANGELES, CA 90074-2920
(855) 398-1633
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
140000284
CA
273R00000X
Psychiatric Hospital Unit
Primary
—
CA
Other
Enumeration date
10/19/2006
Last updated
12/02/2013
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