Komatsu, Judith

Komatsu, Judith is an individual health care provider with primary practice located at 1179 N Mcdowell Blvd , Petaluma CA 94954-6559. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Other Service Providers / Acupuncturist. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Komatsu, Judith can be contacted via phone (707) 559-7500.

Contact Information

Primary practice address
1179 N Mcdowell Blvd Petaluma CA 94954-6559
Phone: (707) 559-7500
Fax: (707) 559-7620
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 21030 California
Other Service Providers / Acupuncturist 171100000X CA7924 California

Profile Details

NPI number 1346261005
LBN Legal business name Komatsu, Judith
Credentials N.P, L.A.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jul 6th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346261005 NPPES
California Other LA792H ACUPUNTURIST

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