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Organization
NORTHERN CALIFORNIA MEDICAL ASSOC INC
Active
Organization
NORTHERN CALIFORNIA MEDICAL ASSOC INC
Active
Other names
Northern California Medical Associates, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH A. SKIDMORE (CHIEF EXECUTIVE OFFICER)
(707) 573-6933
Entity
Organization
Contact information
Practice address
810 HEALDSBURG AVE, HEALDSBURG, CA 95448-3613
(707) 358-0222
(707) 385-0109
Mailing address
3536 MENDOCINO AVE, STE 200, SANTA ROSA, CA 95403-3634
(707) 525-6485
(707) 573-6918
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C54138
CA
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
C54138
CA
Other
Enumeration date
02/03/2017
Last updated
04/17/2017
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