Santa Rosa Head And Neck Surgical Group, Inc

LBN: Santa Rosa Head And Neck Surgical Group, Inc
Santa Rosa Head And Neck Surgical Group, Inc is an health care organization with primary practice located at 2451 Summerfield Rd , Santa Rosa CA 95405-7815. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Santa Rosa Head And Neck Surgical Group, Inc can be contacted via phone (707) 523-7025, or through Quenelle, David via phone (707) 523-7025.

Contact Information

Primary practice address
2451 Summerfield Rd Santa Rosa CA 95405-7815
Phone: (707) 523-7025
Fax: (707) 591-0224
Website:
Map and Directions
Authorized official contact:
Name: Quenelle, David Doctor of Medicine (MD)
Phone: (707) 523-7025

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X

Profile Details

NPI number 1114969441
LBN Legal business name Santa Rosa Head And Neck Surgical Group, Inc
DBA Doing business as
Authorized official Quenelle, David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1114969441 NPPES
California MEDICAID GR0079030

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