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NORTH COAST FACULTY MEDICAL GROUP INC NPI 1750616512


NPI Information

NPI: 1750616512
Provider Name: NORTH COAST FACULTY MEDICAL GROUP INC

Doing Business As: SUTTER MEDICAL GROUP OF THE REDWOODS

Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
7064 CORLINE CT
B3
SEBASTOPOL, CA
ZIP 95472
Phone: (707) 276-7920
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NORTH COAST FACULTY MEDICAL GROUP INC is an otolaryngology in Sebastopol, CA. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. NORTH COAST FACULTY MEDICAL GROUP INC NPI is 1750616512. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sutter Medical Group Of The Redwoods.

The provider's business location address is:

7064 CORLINE CT
B3
SEBASTOPOL, CA
ZIP 95472-528
Phone: (707) 276-7920
Fax: (707) 546-5334

The provider's authorized official is Steven E Levenberg .
The authorized official title is President and has the following contact phone number (707) 521-8879.

The enumeration date for this NPI number is 10/13/2009 and was last updated on 10/13/2009.


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
1207Y00000XOtolaryngologyYes

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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