Organization
CHANNEL MEDICAL GROUP OF CALIFORNIA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SABA HAQ MD (CEO)
(949) 463-0650
Entity
Organization
Contact information
Practice address
755 BAYWOOD DR FL 2, PETALUMA, CA 94954-5510
(646) 389-3451
Mailing address
4 E 27TH ST UNIT 20206, NEW YORK, NY 10001-9410
(646) 389-3451
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Enumeration date
04/19/2022
Last updated
05/18/2022
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