Organization
NORTHERN CALIFORNIA MEDICAL ASSOC INC
Active
Other names
Northern California Medical Associates, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY A DEWALD (BUSINESS SERVICES MANAGER)
(707) 525-6485
Entity
Organization
Contact information
Practice address
4727 HOEN AVE STE A, SANTA ROSA, CA 95405-7898
(707) 527-0342
(707) 527-0818
Mailing address
3536 MENDOCINO AVE STE 200, SANTA ROSA, CA 95403-3634
(707) 545-6485
(707) 573-6918
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
07/22/2019
Last updated
10/04/2019
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