# NORTHERN CALIFORNIA MINIMALLY INVASIVE CARDIOVASCULAR SURGERY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619236452
- **Authorized official:** RAMZI DEEIK MD (PRESIDENT)
- **Authorized official phone:** (707) 255-8825

## Contact information

- **Practice address:** 500 DOYLE PARK DR, SUITE G-05, SANTA ROSA, CA 95405-4558
- **Practice address phone:** (707) 576-7100
- **Mailing address:** 3010 BEARD RD, NAPA, CA 94558-3442
- **Mailing address phone:** (707) 255-8825
- **Mailing address fax:** (707) 252-9325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | A79076 | CA | Yes |

## Other

- **Enumeration date:** 05/14/2012
- **Last updated:** 09/05/2012