Individual
DR. JAMES VANGUNDIA NEEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 MONTGOMERY DRIVE, SANTA ROSA, CA 95405
(707) 578-8355
(707) 578-0334
Mailing address
1120 MONTGOMERY DRIVE, SANTA ROSA, CA 95405
(707) 578-8355
(707) 578-0334
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
00C380790
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C380790
—
CA
01
—
CGP107050
MEDI CAL CCS
CA
Enumeration date
03/01/2006
Last updated
07/08/2007
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