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Organization
INPATIENT SERVICES OF CALIFORNIA, A MEDICAL CORPORATION
Active
Organization
INPATIENT SERVICES OF CALIFORNIA, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KONDAS (VP PROVIDER ENROLLMENT)
(973) 251-1132
Entity
Organization
Contact information
Practice address
1165 MONTGOMERY DR, SANTA ROSA, CA 95405-4801
(469) 401-2386
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(469) 401-2386
(214) 712-2444
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/09/2014
Last updated
10/28/2019
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