Familycare Allergy And Asthma

LBN: Allergy & Asthma Adult & Pediatric Medical Group Of The Redwoods Inc
Familycare Allergy And Asthma is an health care organization with primary practice located at 130 Stony Point Rd Suite E, Santa Rosa CA 95401-4120. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is the primary health care specialty. Allergy & Asthma Adult & Pediatric Medical Group Of The Redwoods Inc can be contacted via phone (707) 525-0211, or through Petrick, John F via phone (707) 525-0211.

Contact Information

Primary practice address
130 Stony Point Rd Suite E Santa Rosa CA 95401-4120
Phone: (707) 525-0211
Fax: (707) 525-0491
Website:
Map and Directions
Authorized official contact:
Name: Petrick, John F BA DEGREE
Phone: (707) 525-0211

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X C132754 California
Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology 207KI0005X G29076 California
Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology 207KI0005X G33461 California

Profile Details

NPI number 1730257932
LBN Legal business name Allergy & Asthma Adult & Pediatric Medical Group Of The Redwoods Inc
DBA Doing business as Familycare Allergy And Asthma
Authorized official Petrick, John F BA DEGREE
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2006
Last updated Nov 16th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730257932 NPPES
California MEDICAID GR0061440
California Other HKRAA3F00
California Other ZZZ95243Z

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