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1140 Sonoma Ave Santa Rosa CA 95405-4817 | |
| (707) 527-7656 | |
| (707) 527-5015 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1140 Sonoma Ave, Santa Rosa, California |
| Authorized Official Name and Position | Eileen Doster (PATIENT ACCESS SPECIALIST) |
| Authorized Official Contact | 9258875369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2185 Pacheco St Concord CA 94520-2309 Ph: (925) 676-0505 | 1140 Sonoma Ave Santa Rosa CA 95405-4817 Ph: (707) 527-7656 |
| NPI Number | 1659671600 |
|---|---|
| Provider Enumeration Date | 10/25/2010 |
| Last Update Date | 06/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659671600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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