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Organization
SANTA ROSA MEDICAL GROUP, INC.
Active
Organization
SANTA ROSA MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH ALAN EILERMAN M.D. (PRESIDENT)
(805) 987-5041
Entity
Organization
Contact information
Practice address
3661 E. LAS POSAS RD, G162, CAMARILLO, CA 93010
(805) 987-5041
(805) 987-6297
Mailing address
3661 E. LAS POSAS RD, G162, CAMARILLO, CA 93010
(805) 987-5041
(805) 987-6297
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A48615
CA
207R00000X
Internal Medicine Physician
A61469
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
G36258
CA
207RH0003X
Hematology & Oncology Physician
Primary
G43738
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ16399Z
BLUE SHIELD
CA
Enumeration date
08/08/2006
Last updated
09/11/2025
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