Organization
SATELLITE HEALTHCARE INC
Active
Other names
Satellite Healthcare Vallejo
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE VINCENT (PRESIDENT/COO)
(650) 404-3600
Entity
Organization
Contact information
Practice address
4300 SONOMA BLVD, STE 25, VALLEJO, CA 94589-2200
(707) 561-7150
(707) 554-4481
Mailing address
300 SANTANA ROW, STE 300, SAN JOSE, CA 95128-2423
(707) 561-7150
(650) 625-6007
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982047783
—
CA
01
—
550002641
STATE
CA
Enumeration date
04/10/2013
Last updated
01/13/2023
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