Organization · Type 2 NPI

Sutter West Bay Medical Foundation

Pediatrics Physician · San Rafael, CA

NPI number 1124252416 Active

Practice location

750 Las Gallinas Ave, #210
San Rafael, CA 94903-3438

Call (415) 479-7244 Map

Fax (415) 479-0917

Mailing address

PO Box 254947
Sacramento, CA 95865-4947

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Pediatrics Physician Primary 208000000XNone listed
Pediatric Nurse Practitioner 363LP0200XNone listed

Pediatrics Physician: 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 de…

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About NPI 1124252416

Sutter West Bay Medical Foundation's National Provider Identifier is 1124252416, issued on May 14, 2009. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in San Rafael, CA. The record was last updated on Sep 25, 2013.