Provider Demographics
NPI:1306005459
Name:SEQUOIA HOSPITAL
Entity Type:Organization
Organization Name:SEQUOIA HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PATIENT REGISTRAR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEIDA
Authorized Official - Middle Name:MIRANDA
Authorized Official - Last Name:DOMINJGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-367-5649
Mailing Address - Street 1:170 ALAMEDA DE LAS PULGAS
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94062-2751
Mailing Address - Country:US
Mailing Address - Phone:650-367-5649
Mailing Address - Fax:650-368-5138
Practice Address - Street 1:170 ALAMEDA DE LAS PULGAS
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94062-2751
Practice Address - Country:US
Practice Address - Phone:650-367-5649
Practice Address - Fax:650-368-5138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-04
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital