| Alta Bates Summit Medical Center | |
|
350 Hawthorne Ave Oakland CA 94609-3108 | |
| (510) 655-4000 | |
| Not Available |
| Full Name | Alta Bates Summit Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 350 Hawthorne Ave, Oakland, California |
| Authorized Official Name and Position | Brian Trent Hunter (VP SHARED SERVICES) |
| Authorized Official Contact | 9162978555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alta Bates Summit Medical Center Po Box 742920 Los Angeles CA 90074-2920 Ph: (855) 398-1633 | Alta Bates Summit Medical Center 350 Hawthorne Ave Oakland CA 94609-3108 Ph: (510) 655-4000 |
| NPI Number | 1376625277 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 12/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376625277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 140000284 (California) | Secondary |
| 273R00000X | Psychiatric Unit | (California) | Primary |
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