NPI 1538441332

Kaiser Permanente

Organisation Psychiatric Hospital Santa Rosa, CA

Practice location

Address: 3554 Round Barn Blvd, Santa Rosa, CA 95403-0929
Phone: (707) 571-3987
Mailing address: 2480 Vineyard Rd, Novato, CA 94947-3601

Authorised official

Name: Morella E. Bombardini
Title: Psychology
Phone: (415) 577-4018

Registered specialties

Psychiatric Hospital Primary

Hospitals Taxonomy 283Q00000X Licence PSY 24339 (CA)

Other Psychiatric Hospital providers in California →

Registry record

NPI: 1538441332
Entity type: Organization
NPI issued: 16 Sep 2011
Record last updated: 16 Sep 2011

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.