Individual
DR. RUDY Y SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1165 MONTGOMERY DR, SANTA ROSA, CA 95405-4801
(707) 888-4415
Mailing address
179 YULUPA CIR, SANTA ROSA, CA 95405-5154
(707) 888-4415
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
C53119
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018871270003
—
PA
01
—
C53119
CA LICENSE
CA
01
—
MD418624
LICENSE
PA
Enumeration date
07/28/2005
Last updated
06/29/2023
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