| Veterans Administration | |
|
3315 Chanate Rd Ste 1b Santa Rosa CA 95404-1740 | |
| (707) 570-3800 | |
| (707) 570-3860 |
| Full Name | Veterans Administration |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3315 Chanate Rd Ste 1b, Santa Rosa, California |
| Authorized Official Name and Position | Donald Blair Dean (STAFF PSYCHIATRIST) |
| Authorized Official Contact | 7075703800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Veterans Administration 3315 Chanate Rd Ste 1b Santa Rosa CA 95404-1740 Ph: (707) 570-3800 | Veterans Administration 3315 Chanate Rd Ste 1b Santa Rosa CA 95404-1740 Ph: (707) 570-3800 |
| NPI Number | 1235230848 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235230848 | NPI | - | NPPES |
| C19197 | Other | CA | MEDICAL BOARD NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | C19197 (California) | Primary |
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