Annadel Medical Group

LBN: Annadel Medical Group
Annadel Medical Group is an health care organization with primary practice located at 1165 Montgomery Dr , Santa Rosa CA 95405-4801. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Annadel Medical Group can be contacted via phone (707) 303-8307, or through Just, Bob via phone (707) 303-8307.

Contact Information

Primary practice address
1165 Montgomery Dr Santa Rosa CA 95405-4801
Phone: (707) 303-8307
Fax: (707) 303-1992
Website:
Map and Directions
Authorized official contact:
Name: Just, Bob
Phone: (707) 303-8307

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G22056 California

Profile Details

NPI number 1740602309
LBN Legal business name Annadel Medical Group
DBA Doing business as
Authorized official Just, Bob
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2014
Last updated Jan 15th, 2014 - about 10 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.

Request for update

Popular Providers