PETALUMA VALLEY INTERNAL MEDICINE INC NPI 1326089806

NPI Information

NPI: 1326089806
Provider Name: PETALUMA VALLEY INTERNAL MEDICINE INC
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
1250 BROADWAY
SONOMA, CA
ZIP 95476
Phone: (707) 262-6267
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PETALUMA VALLEY INTERNAL MEDICINE INC is an adult medicine family medicine in Sonoma, CA. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. PETALUMA VALLEY INTERNAL MEDICINE INC NPI is 1326089806. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1250 BROADWAY
SONOMA, CA
ZIP 95476-500
Phone: (707) 262-6267
Fax: (707) 734-7766

The provider's authorized official is David G Streeter .
The authorized official title is President and has the following contact phone number (707) 765-1070.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 12/12/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0505X	Family Medicine	Adult Medicine	G55098	CALIFORNIA	Yes

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: 5/5/2024

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