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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