| Northern California Medical Assoc Inc | |
|
830 2nd St Ste A Santa Rosa CA 95404-4620 | |
| (707) 380-1838 | |
| Not Available |
| Full Name | Northern California Medical Assoc Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 830 2nd St Ste A, Santa Rosa, California |
| Authorized Official Name and Position | Sally A Dewald (BUSINESS SERVICES MANAGER) |
| Authorized Official Contact | 7075256485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern California Medical Assoc Inc 3536 Mendocino Ave Ste 200 Santa Rosa CA 95403-3634 Ph: (707) 525-6485 | Northern California Medical Assoc Inc 830 2nd St Ste A Santa Rosa CA 95404-4620 Ph: (707) 380-1838 |
| NPI Number | 1922640820 |
|---|---|
| Provider Enumeration Date | 10/11/2019 |
| Last Update Date | 10/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922640820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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