Individual
ELIZABETH A PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3883 AIRWAY DR STE 320, SANTA ROSA, CA 95403-1671
(707) 541-7900
(707) 573-5431
Mailing address
3883 AIRWAY DRIVE, SUITE 201, SANTA ROSA, CA 95403-1671
(707) 521-8900
(707) 523-1309
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G83732
CA
2086X0206X
Surgical Oncology Physician
036102822
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036102822
—
IL
Enumeration date
11/10/2005
Last updated
10/21/2025
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