Provider Demographics
NPI:1376840546
Name:SANTE HEALTH FOUNDATION
Entity type:Organization
Organization Name:SANTE HEALTH FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MATEO
Authorized Official - Middle Name:F
Authorized Official - Last Name:DESOTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-228-5400
Mailing Address - Street 1:PO BOX 28949
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93729-8949
Mailing Address - Country:US
Mailing Address - Phone:559-228-5400
Mailing Address - Fax:559-224-1825
Practice Address - Street 1:1180 E SHAW AVE
Practice Address - Street 2:SUITE 222
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-7812
Practice Address - Country:US
Practice Address - Phone:559-228-5400
Practice Address - Fax:559-224-1825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-23
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty