NPI 1093229312

Northern California Medical Assoc INC

Organisation Neuromusculoskeletal Medicine & OMM Physician Sebastopol, CA

Practice location

Address: 506 S Main St, Sebastopol, CA 95472-4261
Phone: (707) 829-5455
Fax: (707) 824-9235
Mailing address: 3536 Mendocino Ave STE 200, Santa Rosa, CA 95403-3634

Authorised official

Name: Sally a Dewald
Title: Director of Business Services
Phone: (707) 525-6485

Registered specialties (2)

Neuromusculoskeletal Medicine & OMM Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204D00000X Licence 20A5942 (CA)

Other Neuromusculoskeletal Medicine & OMM providers in California →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 20A5942 (CA)

Other Family Medicine providers in California →

Registry record

NPI: 1093229312
Entity type: Organization
NPI issued: 22 Nov 2017
Record last updated: 22 Nov 2017

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.