Healthcare Provider Details
I. General information
NPI: 1265755615
Provider Name (Legal Business Name): SUTTER HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/11/2010
Last Update Date: 01/20/2022
Certification Date: 01/20/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3801 SACRAMENTO ST FL 3
SAN FRANCISCO CA
94118-1625
US
IV. Provider business mailing address
85 RAMONA AVE APT 4
SAN FRANCISCO CA
94103-5515
US
V. Phone/Fax
- Phone: 415-600-2402
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | A108081 |
| License Number State | CA |
VIII. Authorized Official
Name: DR.
PAUL
ARONOWITZ
Title or Position: PROGRAM DIRECTOR
Credential: M.D.
Phone: 415-600-1133