North Bay Medical Group Surgery Center
North Bay Medical Group Surgery Center is an Ambulatory Surgical Clinic/Center in Santa Rosa, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
4415 Sonoma Hwy Ste BSanta Rosa, CA 95409-7100
Phone: (707) 591-0619
Fax: (707) 591-0617
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence AS1628 (CA) |
|---|
Record details
| NPI number | 1639220189 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Eric Kraut — President · (707) 591-0619 |
| NPI enumerated | January 12, 2007 |
| Last updated in NPPES | July 21, 2008 |
| Mailing address | 3850 Montgomery Dr, Suite D, Santa Rosa, CA 95405-5207 |
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