National Provider Identifier Database

NORTHERN CALIFORNIA MEDICAL ASSOC INC
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


Contact Information

NORTHERN CALIFORNIA MEDICAL ASSOC INC
1140 SONOMA AVE
STE 1A
SANTA ROSA, CA95405-4817
Phone: 707-546-5553
Fax: 707-546-0725
Website:
Specialty Taxonomy Code
* Urology 208800000X
Pediatric Urology 2088P0231X

* Indicates primary specialty

NPI Profile & details for NORTHERN CALIFORNIA MEDICAL ASSOC INC

NPI Number 1588829691
Legal business name
LBN
NORTHERN CALIFORNIA MEDICAL ASSOC INC
Authorized official RUTH SKIMORE - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 07/29/2008
Last updated 12/09/2008 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • CA Medicaid: 1588829691
  • CA Other: ZZZ54233Y BS OF CALIFORNIA

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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