Vidaurri, David

Vidaurri, David is an individual health care provider with primary practice located at 401 Bicentennial Way , Santa Rosa CA 95403-2149. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Vidaurri, David can be contacted via phone (707) 571-4000.

Contact Information

Primary practice address
401 Bicentennial Way Santa Rosa CA 95403-2149
Phone: (707) 571-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X A55501 California

Profile Details

NPI number 1689758674
LBN Legal business name Vidaurri, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Dec 13th, 2021 - about 4 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 1689758674 NPPES
California MEDICAID 00A555010

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