Organization · Type 2 NPI
Petaluma Valley Internal Medicine Inc
Adult Medicine Physician · Sonoma, CA
NPI number
1326089806
Active
Practice location
1250 Broadway
Sonoma, CA 95476-7500
Fax (707) 734-7766
Mailing address
1310 Commerce St #B
Petaluma, CA 94954-1469
Other practice locations
- 715 Southpoint Blvd Suite C, Petaluma, CA 94954-1469 · (707) 765-1070
- 678 2nd St W, Sonoma, CA 95476-6901 · (707) 262-6267
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | G55098 (CA) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
6 other providers at this address
- Ensign Sonoma LLCSkilled Nursing Facility Sonoma, CA NPI 1871594614
- Tyler Mark Nixon Do, IncInternal Medicine Physician Sonoma, CA NPI 1437532652
- Chisom Mogbo, DOPhysical Medicine & Rehabilitation Physician Sonoma, CA NPI 1447887120
- Deborah WestOccupational Therapy Assistant Sonoma, CA NPI 1912855966
- Mark Luck Lito Villa Cubillas, RPTPhysical Therapist Sonoma, CA NPI 1083388581
- Patricia Ann Satterfield, COTAOccupational Therapy Assistant Sonoma, CA NPI 1427281237
About NPI 1326089806
Petaluma Valley Internal Medicine Inc's National Provider Identifier is 1326089806, issued on Jun 8, 2006. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Sonoma, CA. The record was last updated on Dec 12, 2018.