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Organization

ALTA BATES SUMMIT MEDICAL CENTER ADULT DAY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN GATES (CFO SHBA)
(510) 450-7357
Entity
Organization

Contact information

Practice address
350 HAWTHORNE AVE, OAKLAND, CA 94609-3108
(510) 204-4444
Mailing address
PO BOX 742920, LOS ANGELES, CA 90074-2920
(855) 398-1633

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ADU70083G
CA
Enumeration date
01/18/2007
Last updated
04/21/2016
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