Organization
WENNEKER & LOFTUS INC
Active
Other names
Surgery Group of Napa Valley
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SASHA J RIOS (OFFICE MANAGER)
(707) 226-2031
Entity
Organization
Contact information
Practice address
3443 VILLA LANE, SUITE 3, NAPA, CA 94558-6417
(707) 226-2034
(707) 252-1087
Mailing address
3443 VILLA LANE, SUITE 5, NAPA, CA 94558-6417
(707) 226-2034
(707) 252-1087
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
C529280
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0083940
—
CA
01
—
ZZZ55854Z
BLUE SHIELD
CA
Enumeration date
08/10/2006
Last updated
09/22/2014
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