Sonoma Family Practice
NPI #1164667275 in Sonoma, California
Provider Information
- NPI Number
- 1164667275
- Entity Type
- Organization
- Organization Name
- Sonoma Family Practice
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC.
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Dec 4, 2008
- Last Updated
- Oct 23, 2012
Practice Location
- Address
- 270 PERKINS ST
- City
- Sonoma
- State
- California
- ZIP Code
- 95476-6955
- Phone
- (707) 938-1271
Authorized Official
- Name
- KENNY HEINE
- Title
- DIRECTOR OF OPERATIONS
- Phone
- (858) 625-2990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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