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Organization

SUTTER WEST BAY MEDICAL FOUNDATION

Active
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Organization

SUTTER WEST BAY MEDICAL FOUNDATION

Active
Parent organization
SUTTER WEST BAY MEDICAL FOUNDATION
Other names
Sutter Pacific Medical Foundation
Organization subpart
Yes

Provider details

NPI number
Legal business name
SUTTER WEST BAY MEDICAL FOUNDATION
Authorized official
MR. JOHN GATES (RCFO)
(415) 600-7755
Entity
Organization

Contact information

Practice address
3880 S BASCOM AVE, #113, SAN JOSE, CA 95124-2674
(408) 832-5498
(408) 927-5421
Mailing address
PO BOX 254947, SACRAMENTO, CA 95865-4947
(916) 854-6975
(916) 854-6844

Taxonomy

Speciality
Code
Description
License number
State
207RI0008X
Hepatology Physician
Primary
207RN0300X
Nephrology Physician

Other

Enumeration date
05/14/2009
Last updated
09/25/2013
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