North Coast Faculty Medical Group INC

NPI #1750616512 in Sebastopol, California

Provider Information

NPI Number: 1750616512
Entity Type: Organization
Organization Name: North Coast Faculty Medical Group INC
Primary Specialty: Otolaryngology
Enumeration Date: Oct 13, 2009
Last Updated: Oct 13, 2009

Practice Location

Address: 7064 CORLINE CT
Address 2: B3
City: Sebastopol
State: California
ZIP Code: 95472-4528
Phone: (707) 276-7920

Authorized Official

Name: DR. STEVEN E LEVENBERG, DO
Title: PRESIDENT
Phone: (707) 521-8879

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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