Santa Rosa Head And Neck Surgical Group, Inc in Santa Rosa - Otolaryngology
Santa Rosa Head And Neck Surgical Group, Inc - NPI 1114969441
Santa Rosa Head And Neck Surgical Group, Inc is a Otolaryngology in Santa Rosa, California. Santa Rosa Head And Neck Surgical Group, Inc practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Santa Rosa Head And Neck Surgical Group, Inc is 1114969441. The last update date is 2020-08-22.
Santa Rosa Head And Neck Surgical Group, Inc's current location address is 2451 Summerfield Rd, Santa Rosa, California. You can contact this provider via phone number 7075237025. The mailing address for Santa Rosa Head And Neck Surgical Group, Inc is 2451 Summerfield Rd, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Santa Rosa Head And Neck Surgical Group, Inc |
|---|---|
| Address | 2451 Summerfield Rd, Santa Rosa, California |
| Phone Number | 7075237025 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Quenelle David |
| Credentials | M.D. |
| Telephone Number | 7075237025 |
NPI Number Detail
| NPI Number | 1114969441 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2451 Summerfield Rd |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954057815 |
| Phone Number | 7075237025 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
|
Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0079030 | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Santa Rosa Head And Neck Surgical Group, Inc by the Centers for Medicare & Medicaid Services?
The Santa Rosa Head And Neck Surgical Group, Inc has been issued the NPI (National Provider Identifier) 1114969441. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Santa Rosa Head And Neck Surgical Group, Inc is physically located?
The Santa Rosa Head And Neck Surgical Group, Inc is situated at the following address: 2451 Summerfield Rd, Santa Rosa, CA 954057815.
What is Santa Rosa Head And Neck Surgical Group, Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Santa Rosa Head And Neck Surgical Group, Inc's specialized field of practice is Otolaryngology, and the corresponding taxonomy code that categorizes this area of specialization is 207Y00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1114969441 to Santa Rosa Head And Neck Surgical Group, Inc?
The Centers for Medicare & Medicaid Services assigned the 1114969441 to Santa Rosa Head And Neck Surgical Group, Inc on 2006-06-12.
When was the information related to Santa Rosa Head And Neck Surgical Group, Inc most recently updated or refreshed?
The details pertaining to the Santa Rosa Head And Neck Surgical Group, Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.