| St Jude Hospital Yorba Linda | |
|
24 W El Rose Dr Petaluma CA 94952-4023 | |
| (707) 763-9891 | |
| (707) 762-2311 |
| Full Name | St Jude Hospital Yorba Linda |
|---|---|
| Speciality | Family Medicine |
| Location | 24 W El Rose Dr, Petaluma, California |
| Authorized Official Name and Position | John Bennett (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 7144494800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Jude Hospital Yorba Linda 279 Imperial Hwy Suite 730 Fullerton CA 92835-1041 Ph: (714) 449-4841 | St Jude Hospital Yorba Linda 24 W El Rose Dr Petaluma CA 94952-4023 Ph: (707) 763-9891 |
| NPI Number | 1780980169 |
|---|---|
| Provider Enumeration Date | 02/02/2011 |
| Last Update Date | 02/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780980169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Northern California Medical Assoc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Lynch Creek Way, Ste 10, Petaluma, CA 94954 Phone: 707-782-9123 Fax: 707-782-9622 | |
Petaluma Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1225 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500 | |
Ranadive Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 Lynch Creek Way Ste C, Petaluma, CA 94954 Phone: 707-763-0802 Fax: 707-763-0803 | |
Nikola Lozanov Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 Lynch Creek Way Ste 4, Petaluma, CA 94954 Phone: 707-782-1244 Fax: 707-782-1163 | |
County Of Sonoma Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1355 Industrial Ave, Petaluma, CA 94952 Phone: 707-565-8188 Fax: 707-565-8190 | |
Vivacitas Medical Group Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1383 N Mcdowell Blvd Ste 110, Petaluma, CA 94954 Phone: 707-766-9852 | |
Petaluma Health Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 333 Casa Grande Rd, Petaluma, CA 94954 Phone: 707-559-7500 |