Organization
SANTA ROSA VEIN ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE V BALLESTEROS M.D. (PRESIDENT)
(707) 636-8346
Entity
Organization
Contact information
Practice address
990 SONOMA AVE STE 2, SANTA ROSA, CA 95404-4813
(707) 636-8346
(707) 205-1008
Mailing address
990 SONOMA AVE, SUITE 2, SANTA ROSA, CA 95404-4813
(707) 636-8346
(707) 205-1008
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0065700
—
CA
Enumeration date
12/05/2016
Last updated
08/26/2025
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