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 (DIRECTOR OF BUSINESS SERVICES)
(707) 525-6485
Entity
Organization
Contact information
Practice address
990 SONOMA AVE STE 18, SANTA ROSA, CA 95404
(707) 578-1222
(707) 578-8348
Mailing address
3536 MENDOCINO AVE STE 200, SANTA ROSA, CA 95403-3634
(707) 525-6485
(707) 573-6918
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
—
—
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
CA
Other
Enumeration date
02/13/2018
Last updated
08/07/2018
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