SUTTER WEST BAY MEDICAL FOUNDATION

SAN RAFAEL, CA
NPI1124252416
Doing Business AsSUTTER PACIFIC MEDICAL FOUNDATION
Entity TypeOrganization
Authorized ContactJOHN GATES
R CFO
415-600-7755
Organization Subpart ?Yes
Primary Taxonomy208000000X Pediatrics
Additional Taxonomies207Q00000X Family Medicine
207R00000X Internal Medicine
207V00000X Obstetrics & Gynecology
363LP0200X Nurse Practitioner, Pediatrics
Enumeration Date2009-05-14
Last Update Date2013-09-25
Business Address
SUTTER WEST BAY MEDICAL FOUNDATION
750 LAS GALLINAS AVE #210
SAN RAFAEL, CA 94903-3438
Phone number: 415-479-7244
Mailing Address
SUTTER WEST BAY MEDICAL FOUNDATION
PO BOX 254947
SACRAMENTO, CA 95865-4947
Phone number: 916-854-6975