Provider Demographics
NPI:1447617360
Name:ATLAS HEALTH INC
Entity Type:Organization
Organization Name:ATLAS HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:GILLETT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-425-9805
Mailing Address - Street 1:19600 VALLCO PKWY
Mailing Address - Street 2:#170
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-7131
Mailing Address - Country:US
Mailing Address - Phone:650-425-9805
Mailing Address - Fax:650-425-9807
Practice Address - Street 1:19600 VALLCO PKWY
Practice Address - Street 2:SUITE # 170
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-7131
Practice Address - Country:US
Practice Address - Phone:650-695-0114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-22
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care