Allergy & Asthma Adult & Pediatric Medical Group Of The Redwoods Inc in Santa Rosa - Clinical & Laboratory Immunology
Allergy & Asthma Adult & Pediatric Medical Group Of The Redwoods Inc - NPI 1730257932
Allergy & Asthma Adult & Pediatric Medical Group Of The Redwoods Inc is a Clinical & Laboratory Immunology in Santa Rosa, California. Allergy & Asthma Adult & Pediatric Medical Group Of The Redwoods Inc practices all healthcare services and medical treatments related to Clinical & Laboratory Immunology. The NPI Number for Allergy & Asthma Adult & Pediatric Medical Group Of The Redwoods Inc is 1730257932. The last update date is 2015-11-16.
Allergy & Asthma Adult & Pediatric Medical Group Of The Redwoods Inc's current location address is 130 Stony Point Rd, Santa Rosa, California. You can contact this provider via phone number 7075250211 and fax number 7075250491. The mailing address for Allergy & Asthma Adult & Pediatric Medical Group Of The Redwoods Inc is 130 Stony Point Rd, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Allergy & Asthma Adult & Pediatric Medical Group Of The Redwoods Inc |
|---|---|
| Address | 130 Stony Point Rd, Santa Rosa, California |
| Phone Number | 7075250211 |
| Fax Number | 7075250491 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Petrick F John |
| Credentials | BA DEGREE |
| Telephone Number | 7075250211 |
NPI Number Detail
| NPI Number | 1730257932 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2015-11-16 |
Provider Mailing Address Detail
| Address | 130 Stony Point Rd |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954014120 |
| Phone Number | 7075250211 |
| Fax Number | 7075250491 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical & Laboratory Immunology |
|---|---|
| Taxonomy | 207Ki0005X |
| Licence No | G29076 |
|
Definition: An allergy and immunology physician who specializes in clinical and laboratory immunology disease management.. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0061440 | CA | -- | |
| HKRAA3F00 | HIN NUMBER | ||
| ZZZ95243Z | CA | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique identification code assigned to Allergy & Asthma Adult & Pediatric Medical Group Of The Redwoods Inc by the Centers for Medicare & Medicaid Services?
The Allergy & Asthma Adult & Pediatric Medical Group Of The Redwoods Inc has been issued the NPI (National Provider Identifier) 1730257932. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Allergy & Asthma Adult & Pediatric Medical Group Of The Redwoods Inc located?
The Allergy & Asthma Adult & Pediatric Medical Group Of The Redwoods Inc is located at 130 Stony Point Rd, Santa Rosa, CA 954014120.
What is Allergy & Asthma Adult & Pediatric Medical Group Of The Redwoods Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Allergy & Asthma Adult & Pediatric Medical Group Of The Redwoods Inc is Clinical & Laboratory Immunology, and the corresponding taxonomy classification code for this specialized field is 207Ki0005X.
When was the Allergy & Asthma Adult & Pediatric Medical Group Of The Redwoods Inc's 1730257932 issued?
The Allergy & Asthma Adult & Pediatric Medical Group Of The Redwoods Inc's 1730257932 was issued on 2006-12-04.
When was the Allergy & Asthma Adult & Pediatric Medical Group Of The Redwoods Inc's information last updated?
The Allergy & Asthma Adult & Pediatric Medical Group Of The Redwoods Inc's information was last updated on 2015-11-16.