Organization
DECIPHER ONE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SANTOS JOHN DOMINGUEZ II (OPERATIONS DIRECTOR)
(210) 861-9819
Entity
Organization
Contact information
Practice address
617 BROADWAY UNIT 120, SONOMA, CA 95476-2402
(210) 861-9819
Mailing address
617 BROADWAY UNIT 120, SONOMA, CA 95476-2402
(210) 861-9819
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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