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Organization
DEPARTMENT OF HEALTH SERVICES
Active
Organization
DEPARTMENT OF HEALTH SERVICES
Active
Parent organization
COUNTY OF SONOMA
Other names
Fee for Service - RN Specialty
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF SONOMA
Authorized official
RUBY ZHANG (DEPARTMENT ANALYST)
(707) 565-7846
Entity
Organization
Contact information
Practice address
1450 NEOTOMAS AVE STE 200, SANTA ROSA, CA 95405-7574
(707) 565-4850
Mailing address
1450 NEOTOMAS AVE STE 200, SANTA ROSA, CA 95405-7574
(707) 565-4850
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4983
FFS RN PROVIDER NUMBER
CA
Enumeration date
05/22/2007
Last updated
05/23/2023
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