Organization
SUTTER WEST BAY HOSPITALS
Active
Other names
Lakeside Family Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN GATES (CFO)
(415) 600-7771
Entity
Organization
Contact information
Practice address
5176 HILL RD E, MODULAR BUILDING, LAKEPORT, CA 95453-6300
(707) 262-5088
(707) 262-5135
Mailing address
633 FOLSOM ST 7TH FLOOR, SAN FRANCISCO, CA 94107-3600
(415) 600-7735
(415) 600-7776
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/12/2014
Last updated
01/20/2022
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