Organization
COUNTY OF SONOMA
Active
Organization
COUNTY OF SONOMA
Active
Parent organization
COUNTY OF SONOMA
Other names
Department of Health - Center for HIV Prevention and Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF SONOMA
Authorized official
DIANA STORNETTA (ACCOUNTANT III COMPLIANCE)
(707) 565-4782
Entity
Organization
Contact information
Practice address
499 HUMBOLDT ST STE 104, SANTA ROSA, CA 95404-4214
(707) 565-7400
Mailing address
499 HUMBOLDT ST STE 104, SANTA ROSA, CA 95404-4214
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ0818Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
01/10/2007
Last updated
12/08/2008
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