Organization
COUNTY OF SONOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE KALJIAN (DIVISION DIRECTOR)
(707) 565-5900
Entity
Organization
Contact information
Practice address
3725 WESTWIND BLVD, SUITE 101, SANTA ROSA, CA 95403-9081
(707) 565-5900
Mailing address
3725 WESTWIND BLVD, SUITE 101, SANTA ROSA, CA 95403-9081
(707) 565-5900
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MSS00011F
—
CA
Enumeration date
11/13/2013
Last updated
11/13/2013
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