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REDWOOD RADIOLOGY GROUP INC NPI 1326461708


NPI Information

NPI: 1326461708
Provider Name: REDWOOD RADIOLOGY GROUP INC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
121 SOTOYOME ST
SANTA ROSA, CA
ZIP 95405
Phone: (707) 546-4062
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REDWOOD RADIOLOGY GROUP INC is a diagnostic radiology radiology in Santa Rosa, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. REDWOOD RADIOLOGY GROUP INC NPI is 1326461708. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

121 SOTOYOME ST
SANTA ROSA, CA
ZIP 95405-823
Phone: (707) 546-4062
Fax: (707) 525-4095

The provider's authorized official is Frank E Modic .
The authorized official title is President and has the following contact phone number (707) 546-4062.

The enumeration date for this NPI number is 1/21/2014 and was last updated on 12/23/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ81615YOTHERCALIFORNIABLUE SHIELD
2ZZZ81617YOTHERCALIFORNIABLUE SHIELD
3ZZZ81618YOTHERCALIFORNIABLUE SHIELD
4ZZZ81619YOTHERCALIFORNIABLUE SHIELD
5ZZZ81620YOTHERCALIFORNIABLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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