Individual
ROY KAZUO SUMIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
121 SOTOYOME ST, SANTA ROSA, CA 95405-4823
(707) 546-4062
(707) 525-4097
Mailing address
121 SOTOYOME ST, SANTA ROSA, CA 95405-4823
(707) 546-4062
(707) 525-4097
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
G85276
CA
2085N0904X
Nuclear Radiology Physician
G85276
CA
2085R0202X
Diagnostic Radiology Physician
G85276
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
G85276
CA
2085U0001X
Diagnostic Ultrasound Physician
G85276
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G852760
—
CA
Enumeration date
10/16/2006
Last updated
01/14/2022
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