Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORELLA E. BOMBARDINI (PSYCHOLOGY)
(415) 577-4018
Entity
Organization
Contact information
Practice address
3554 ROUND BARN BLVD, SANTA ROSA, CA 95403-0929
(707) 571-3987
Mailing address
2480 VINEYARD RD, NOVATO, CA 94947-3601
(415) 577-4018
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
PSY 24339
CA
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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