| Decipher One Medical PC | |
|
617 Broadway Unit 120 Sonoma CA 95476-2402 | |
| (210) 861-9819 | |
| Not Available |
| Full Name | Decipher One Medical PC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 617 Broadway Unit 120, Sonoma, California |
| Authorized Official Name and Position | Santos John Dominguez (OPERATIONS DIRECTOR) |
| Authorized Official Contact | 2108619819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Decipher One Medical PC 617 Broadway Unit 120 Sonoma CA 95476-2402 Ph: (210) 861-9819 | Decipher One Medical PC 617 Broadway Unit 120 Sonoma CA 95476-2402 Ph: (210) 861-9819 |
| NPI Number | 1578411641 |
|---|---|
| Provider Enumeration Date | 03/17/2026 |
| Last Update Date | 03/17/2026 |
| Certification Date | 03/17/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578411641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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