is a Preferred Provider Organization in Santa Rosa, California. practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for is 1467661843. The last update date is .
's current location address is 1450 Neotomas Ave Ste 200, Santa Rosa, California. You can contact this provider via phone number 7075654861. The mailing address for is 1450 Neotomas Ave Ste 200, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1450 Neotomas Ave Ste 200, Santa Rosa, California |
| Phone Number | 7075654861 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1467661843 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1450 Neotomas Ave Ste 200 |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954057574 |
| Phone Number | 7075654861 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Preferred Provider Organization |
|---|---|
| Taxonomy | 305R00000X |
|
Definition: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4981 | CA | LCSW FFS PROVIDER NUMBER |
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