Sandra Beretta, M D, Inc

LBN: Sandra Beretta, M D, Inc
Sandra Beretta, M D, Inc is an health care organization with primary practice located at 136 N San Mateo Dr Suite 101, San Mateo CA 94401-2777. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Sandra Beretta, M D, Inc can be contacted via phone (650) 344-1114, or through Beretta, Sandra via phone (650) 344-1114.

Contact Information

Primary practice address
136 N San Mateo Dr Suite 101 San Mateo CA 94401-2777
Fax: (650) 344-2274
Website:
Authorized official contact:
Name: Beretta, Sandra Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G068308 California

Profile Details

NPI number 1558529065
LBN Legal business name Sandra Beretta, M D, Inc
DBA Doing business as
Authorized official Beretta, Sandra Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2008
Last updated Jul 5th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558529065 NPPES
Other 00G683080 MEDI-CAL ID

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