# PNC MSK PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PNC MSK PC
- **Other names:** Sonoma County Orthopedic and Podiatric Specialists
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366205460
- **Legal business name:** PNC MSK PC
- **Authorized official:** SCOTT KOJI FUJII MD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (916) 200-0087

## Contact information

- **Practice address:** 3536 MENDOCINO AVE STE 300B, SANTA ROSA, CA 95403-3634
- **Practice address phone:** (707) 237-3410
- **Practice address fax:** (833) 615-2399
- **Mailing address:** 3536 MENDOCINO AVE STE 300B, SANTA ROSA, CA 95403-3634
- **Mailing address phone:** (707) 237-3410
- **Mailing address fax:** (833) 615-2399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | NULL | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | — |
| 213ES0131X | Foot Surgery Podiatrist | — | NULL | — |
| 213ES0131X | Foot Surgery Podiatrist | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 02/01/2024
- **Last updated:** 02/01/2024