Northern California Medical Assoc INC
Podiatrist in Santa Rosa, CA. Organization (NPI-2).
NPI number1164705174
StatusActive
Last updated in NPPESMar 1, 2012
Details
- NPI
- 1164705174
- Entity type
- Organization (NPI-2)
- Legal business name
- Northern California Medical Assoc INC
- Organization subpart
- No
- Enumeration date
- Sep 26, 2011
- Last updated
- Mar 1, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | – | – | Yes |
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | – | – |
Practice location
4761 Hoen AveSanta Rosa, CA 95405-7862
Phone 707-545-0570 · Fax 707-545-0575
Mailing address
3536 Mendocino Ave200
Santa Rosa, CA 95403-3634
Phone 707-575-6049 · Fax 707-545-0575
Authorized official
Ruth Skidmore
Cheif Executive Officer
7075736933
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All 18 Podiatrist providers in Santa Rosa · All 8,142 providers in Santa Rosa
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