Organization
STANFORD HEALTH CARE
Active
Other names
Stanford Health Care Pleasanton 5565
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CONNOR (CFO)
(650) 725-1074
Entity
Organization
Contact information
Practice address
5565 W LAS POSITAS BLVD, SUITE 320, PLEASANTON, CA 94588-4001
(925) 734-8130
Mailing address
1804 EMBARCADERO RD, SUITE 100, PALO ALTO, CA 94303-3341
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
070000662
CA
207N00000X
Dermatology Physician
070000662
CA
207P00000X
Emergency Medicine Physician
070000662
CA
207R00000X
Internal Medicine Physician
070000662
CA
207V00000X
Obstetrics & Gynecology Physician
070000662
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
070000662
CA
208800000X
Urology Physician
070000662
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
070000662
CA
282N00000X
General Acute Care Hospital
Primary
070000662
CA
Other
Enumeration date
02/09/2017
Last updated
03/09/2017
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