Sutter Medical Group Of The Redwoods
Family Medicine in Sebastopol, CA. Organization (NPI-2).
NPI number1497842835
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1497842835
- Entity type
- Organization (NPI-2)
- Legal business name
- Sutter Medical Group Of The Redwoods
- Organization subpart
- No
- Enumeration date
- Oct 6, 2006
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | CA | Yes |
| 207V00000X | Obstetrics & Gynecology | – | CA |
Practice location
652 Petaluma AveSuite F
Sebastopol, CA 95472-4256
Phone 707-823-2334 · Fax 707-823-3007
Mailing address
3883 Airway DrSuite 300
Santa Rosa, CA 95403-1670
Phone 707-521-8809 · Fax 707-521-8835
Authorized official
Linda E Rockstroh
Credentialing Specialist
7075218809
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