NPI 1063780468

Northern California Medical Assoc INC

Organisation Ophthalmology Physician Santa Rosa, CA

Practice location

Address: 1017 2nd St, Santa Rosa, CA 95404-6608
Phone: (707) 546-9800
Fax: (707) 546-4112
Mailing address: 3536 Mendocino Ave STE 200, Santa Rosa, CA 95403-3634

Authorised official

Name: Ruth a Skidmore
Title: Chief Executive Officer
Phone: (707) 573-6925

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X

Other Ophthalmology providers in California →

Registry record

NPI: 1063780468
Entity type: Organization
NPI issued: 13 Dec 2011
Record last updated: 22 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.