Organization
SPECIALTY CARE AND SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA R DHANDA MD (PHYSICIAN)
(707) 279-8733
Entity
Organization
Contact information
Practice address
5685 MAIN ST, KELSEYVILLE, CA 95451-8945
(707) 279-8733
(707) 279-8731
Mailing address
5685 MAIN ST, KELSEYVILLE, CA 95451-8945
(707) 279-8733
(707) 279-8731
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
G6256
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G625260
—
CA
Enumeration date
02/23/2007
Last updated
07/08/2015
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