NPI 1376752758

County of Sonoma

Organisation Preferred Provider Organization Santa Rosa, CA

Practice location

Address: 1450 Neotomas Ave STE 200, Santa Rosa, CA 95405-7574
Phone: (707) 565-4861

Authorised official

Name: Ruby Zhang
Title: Department Analyst
Phone: (707) 565-7846

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in California →

Registry record

NPI: 1376752758
Entity type: Organization
NPI issued: 22 May 2007
Record last updated: 23 May 2023

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.