Sonoma County Primary Care Ipa
NPI #1821112871 in Foster City, California
Provider Information
- NPI Number
- 1821112871
- Entity Type
- Organization
- Organization Name
- Sonoma County Primary Care Ipa
- Primary Specialty
- Contractor
- Enumeration Date
- Mar 16, 2007
- Last Updated
- Jan 4, 2012
Practice Location
- Address
- 1051 E. HILLSDALE BLVD
- Address 2
- SUITE 750
- City
- Foster City
- State
- California
- ZIP Code
- 94404-1640
- Phone
- (650) 358-3114
Authorized Official
- Name
- DR. NANCY DAVIDSON, M.D.
- Title
- PRESIDENT
- Phone
- (650) 358-3114
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
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