SUTTER WEST BAY MEDICAL FOUNDATION NPI 1124252416

NPI Information

SUTTER WEST BAY MEDICAL FOUNDATION is a pediatrics in San Rafael, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SUTTER WEST BAY MEDICAL FOUNDATION NPI is 1124252416. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sutter Pacific Medical Foundation.

The provider's business location address is:

750 LAS GALLINAS AVE
#210
SAN RAFAEL, CA
ZIP 94903-438
Phone: (415) 479-7244
Fax: (415) 479-0917

The provider's authorized official is John Gates .
The authorized official title is Rcfo and has the following contact phone number (415) 600-7755.

The enumeration date for this NPI number is 5/14/2009 and was last updated on 9/25/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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