Santa Rosa Medical Group, Inc.

NPI 1134139769 - Internal Medicine - 207R00000X

NPI Details
NPI 1134139769
Enumeration Date 08/08/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KEITH ALAN KEITH
Position PRESIDENT
Phone (805) 987-5041
Fax (805) 987-6297
Practice Location
3661 E. LAS POSAS RD
G162
CAMARILLO CA, 93010, US
Phone (805) 987-5041
Fax (805) 987-6297
Business Location
3661 E. LAS POSAS RD
G162
CAMARILLO CA, 93010, US
Phone (805) 987-5041
Fax (805) 987-6297
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number A48615
Remove 1134139769 NPI Number
 

According to our database, Santa Rosa Medical Group, Inc. NPI is 1134139769, taxonomy code is 207R00000X and license number is A48615, license state is located at California. Santa Rosa Medical Group, Inc. physically located at 3661 E. Las Posas Rd, Camarillo CA, 93010. NPI Number 1033115704 has the healthcare provider type.

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1134139769 NPI number is provided on an as is basis without warranty of any kind. 1134139769 is maintained by the National Plan & Provider Enumeration System. The contents of Santa Rosa Medical Group, Inc. are for informational purposes only.