Santa Rosa Sports And Family Medicine

LBN: Santa Rosa Sports Medicine, Incorporated
Santa Rosa Sports And Family Medicine is an health care organization with primary practice located at 1255 N Dutton Ave , Santa Rosa CA 95401-4663. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Santa Rosa Sports Medicine, Incorporated can be contacted via phone (707) 546-9400, or through Affleck, Ty Preston via phone (707) 546-9400.

Contact Information

Primary practice address
1255 N Dutton Ave Santa Rosa CA 95401-4663
Phone: (707) 546-9400
Fax: (707) 546-9464
Website:
Map and Directions
Authorized official contact:
Name: Affleck, Ty Preston Doctor of Medicine (MD)
Phone: (707) 546-9400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X G073843 California

Profile Details

NPI number 1952555740
LBN Legal business name Santa Rosa Sports Medicine, Incorporated
DBA Doing business as Santa Rosa Sports And Family Medicine
Authorized official Affleck, Ty Preston Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2008
Last updated Oct 13th, 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.

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