Individual
DR. NICHOLAS KUJALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3883 AIRWAY DR STE 100, SANTA ROSA, CA 95403
(707) 521-4480
(707) 521-4460
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(707) 521-4480
(707) 521-4460
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1021454
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C160503
STATE MEDICAL LICENSE
CA
01
—
RHL0202097
CALIFORNIA X-RAY BOARD
CA
Enumeration date
07/07/2009
Last updated
11/08/2019
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