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CHANNEL MEDICAL GROUP OF CALIFORNIA P.C. NPI 1366185118


NPI Information

NPI: 1366185118
Provider Name: CHANNEL MEDICAL GROUP OF CALIFORNIA, P.C.
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

Address:
755 BAYWOOD DR FL 2
PETALUMA, CA
ZIP 94954
Phone: (646) 389-3451
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CHANNEL MEDICAL GROUP OF CALIFORNIA, P.C. is a rheumatology internal medicine in Petaluma, CA. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. CHANNEL MEDICAL GROUP OF CALIFORNIA, P.C. NPI is 1366185118. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

755 BAYWOOD DR FL 2
PETALUMA, CA
ZIP 94954-510
Phone: (646) 389-3451

The provider's authorized official is Saba Haq .
The authorized official title is Ceo and has the following contact phone number (949) 463-0650.

The enumeration date for this NPI number is 4/19/2022 and was last updated on 5/18/2022.


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
1133V00000XDietitian, RegisteredNo
2207RR0500XInternal MedicineRheumatologyYes

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: 4/28/2024

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