Organization
PETALUMA HEALTH CENTER INC
Active
Organization
PETALUMA HEALTH CENTER INC
Active
Other names
Rohnert Park Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PEDRO TOLEDO (INTERIM CEO)
(707) 559-7692
Entity
Organization
Contact information
Practice address
5900 STATE FARM DR, ROHNERT PARK, CA 94928-2149
(707) 559-7500
(707) 559-7620
Mailing address
1179 N MCDOWELL BLVD, PETALUMA, CA 94954-6559
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
110000313
CA
Other
Enumeration date
12/05/2014
Last updated
03/24/2022
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