National Provider Identifier Database

ST JOSEPH HEALTH NORTHERN CALIFORNIA LLC
Dental


Contact Information

ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC
751 LOMBARDI CT
SANTA ROSA, CA95407
Phone: 707-547-2237
Fax: 707-547-2230
Website:
Specialty Taxonomy Code
* Dental 261QD0000X

* Indicates primary specialty

NPI Profile & details for ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC

NPI Number 1326174319
Legal business name
LBN
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC
Authorized official DONALD ANDERSON - (ASSISTANT SECRETARY OF ENROLLMENTS)
Entity Organization
Organization subpart Yes
Enumeration date 02/26/2007
Last updated 05/07/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 110000498
  • CA Other: G9048301 MEDICAL PROVIDER NUMBER

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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