| Sonoma County Indian Health Project Inc. | |
|
144 Stony Point Rd Santa Rosa CA 95401-4122 | |
| (707) 521-4545 | |
| Not Available |
| Full Name | Sonoma County Indian Health Project Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 144 Stony Point Rd, Santa Rosa, California |
| Authorized Official Name and Position | Molin Malicay (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7075214545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonoma County Indian Health Project Inc. 144 Stony Point Rd Santa Rosa CA 95401-4122 Ph: (707) 521-4545 | Sonoma County Indian Health Project Inc. 144 Stony Point Rd Santa Rosa CA 95401-4122 Ph: (707) 521-4545 |
| NPI Number | 1124305495 |
|---|---|
| Provider Enumeration Date | 11/14/2011 |
| Last Update Date | 11/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124305495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | LCS15758 (California) | Primary |
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