Organization
SAN RAMON REGIONAL MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEENU CHADHA (CFO)
(925) 275-8433
Entity
Organization
Contact information
Practice address
6001 NORRIS CANYON RD, SAN RAMON, CA 94583-5400
(925) 275-9200
Mailing address
FILE 57436, LOS ANGELES, CA 90074-7436
(209) 578-2513
(925) 275-0107
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
140000345
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000411
HUMANA
—
01
—
005041-0001
PACIFICARE OF CALIFORNIA
—
01
—
050689B000000
SECTION 1011
—
01
—
232976870
AETNA US HEALTHCARE
—
05
—
HSP30689G
—
CA
05
—
HSP40689F
—
CA
05
—
HSP40689G
—
CA
01
—
ZZZA0700Z
BS OF CALIFORNIA
—
Enumeration date
07/07/2006
Last updated
03/23/2022
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