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Organization
COUNTY OF SONOMA
Active
Organization
COUNTY OF SONOMA
Active
Other names
FEE FOR SERVICE PSYCHIATRIST
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY ZHANG (DEPARTMENT ANALYST)
(707) 565-7846
Entity
Organization
Contact information
Practice address
1450 NEOTOMAS AVE STE 200, SANTA ROSA, CA 95405-7574
(707) 565-4850
Mailing address
1450 NEOTOMAS AVE STE 200, SANTA ROSA, CA 95405-7574
(707) 565-4850
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4979
PSYCHIATRIST PROV NUMBER
CA
Enumeration date
05/22/2007
Last updated
05/23/2023
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