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Organization
NORTHERN CALIFORNIA MEDICAL ASSOC
Active
Organization
NORTHERN CALIFORNIA MEDICAL ASSOC
Active
Other names
Northern California Medical Associates, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY A DEWALD (DIRECTOR OF BUSINESS SERVICES)
(707) 525-6485
Entity
Organization
Contact information
Practice address
2315 DEAN ST, EUREKA, CA 95501-3208
(707) 525-3786
(707) 525-3791
Mailing address
3536 MENDOCINO AVE STE 200, SANTA ROSA, CA 95403-3634
(707) 525-6485
(707) 573-6918
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
—
NULL
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
NULL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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