| Northern California Medical Assoc Inc | |
|
3867 Montgomery Dr Santa Rosa CA 95405-5244 | |
| (707) 525-3786 | |
| (707) 525-3791 |
| Full Name | Northern California Medical Assoc Inc |
|---|---|
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 3867 Montgomery Dr, Santa Rosa, California |
| Authorized Official Name and Position | Ruth A Skidmore (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7075736925 |
| 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) 575-6049 | Northern California Medical Assoc Inc 3867 Montgomery Dr Santa Rosa CA 95405-5244 Ph: (707) 525-3786 |
| NPI Number | 1952603177 |
|---|---|
| Provider Enumeration Date | 11/19/2010 |
| Last Update Date | 02/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952603177 | NPI | - | NPPES |
| 1952603177 | Medicaid | CA | |
| ZZZ00205Z | Other | CA | BLUE SHIELD |
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