N Coast Faculty Medical Group Dba Sutter Medical Group Of The Redwoods
Obstetrics & Gynecology in Santa Rosa, CA. Organization (NPI-2).
NPI number1124277686
StatusActive
Last updated in NPPESAug 25, 2009
Details
- NPI
- 1124277686
- Entity type
- Organization (NPI-2)
- Legal business name
- N Coast Faculty Medical Group Dba Sutter Medical Group Of The Redwoods
- Organization subpart
- No
- Enumeration date
- Sep 9, 2008
- Last updated
- Aug 25, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | – | – | Yes |
| 207Q00000X | Family Medicine | – | – | |
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | – | – | |
| 207RG0100X | Internal Medicine, Gastroenterology | – | – |
Practice location
3883 Airway DrSanta Rosa, CA 95403-1670
Phone 707-521-8809 · Fax 707-521-8835
Mailing address
3883 Airway DrSuite 300
Santa Rosa, CA 95403-1670
Phone 707-521-8809 · Fax 707-521-8835
Authorized official
Steven E Levenberg
President, Smgr
7075218879
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