Organization
EUGENE BELOGORSKY M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE BELOGORSKY M.D. (PRESIDENT)
(707) 526-3500
Entity
Organization
Contact information
Practice address
585 W COLLEGE AVE, SUITE A, SANTA ROSA, CA 95401-5000
(707) 526-3500
(707) 526-2358
Mailing address
585 W COLLEGE AVE, SUITE A, SANTA ROSA, CA 95401-5000
(707) 526-3500
(707) 526-2358
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
00G29625
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZR00174F
TRAUMA
CA
01
—
ZZZ51167Z
GROUPONEHEALTHSOURCE LLC
CA
Enumeration date
07/09/2006
Last updated
12/14/2010
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