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Northern California Medical Assoc Inc
Foot & Ankle Surgery Podiatrist in Santa Rosa, California
NPI 1164705174

Northern California Medical Assoc Inc is a Foot & Ankle Surgery Podiatrist based in Santa Rosa, CA and is specialized in Foot & Ankle Surgery. Northern California Medical Assoc Inc practices in Santa Rosa, CA. The NPI Number for Northern California Medical Assoc Inc is 1164705174 and holds a License No. (California).

The current practice location address for Northern California Medical Assoc Inc is 4761 Hoen Ave, Santa Rosa, CA and can be reached out via phone at 707-545-0570 and via fax at 707-545-0575.

Location: 4761 Hoen Ave, Santa Rosa, CA, 95403-3634
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164705174
Provider Name
Northern California Medical Assoc Inc
Credential
Provider Entity Type
Organization
Address
4761 Hoen Ave, Santa Rosa, CA, 95403-3634
Phone Number
707-545-0570
Fax Number
707-545-0575
Provider Enumeration Date
09/26/2011
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CN8040 01 CA RAILROAD MEDICARE
ZZZ38300Z 01 CA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
4761 Hoen Ave
City
Santa Rosa
State
California
Zip
95405-7862
Phone Number
707-545-0570
Fax Number
707-545-0575
person
Provider Business Mailing Address Details
Address
4761 Hoen Ave
City
Santa Rosa
State
California
Zip
95405-7862
Phone Number
707-545-0570
Fax Number
707-545-0575
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
()
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
()
Definition
Definition to come...
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