Organization
CA 22LLC
Active
Organization
CA 22LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIE PAPPAS (OWNER)
(415) 847-1755
Entity
Organization
Contact information
Practice address
76 BROCKWOOD AVENUE, SUITE B, SANTA ROSA, CA 95404-4312
(707) 523-4907
(707) 523-4953
Mailing address
76 BROCKWOOD AVENUE, SUITE B, SANTA ROSA, CA 94504-4312
(707) 523-4907
(707) 523-4953
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
Update your record
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