Campbell & Verducci
Organization Active NPI Non-Pharmacy Dispensing Site · Sonoma, CA
NPI 1437307352 · NPPES record last updated Oct 23, 2012
Key facts
- NPI
- 1437307352
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-Pharmacy Dispensing Site 332900000X
- License
- G37227 (CA)
- Legal business name
- CAMPBELL & VERDUCCI
- Practice address
- 670 3Rd St W
Sonoma, CA 95476-6805 - Phone
- (707) 938-5916
- NPI assigned
- Sep 4, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- MEDVANTX, INC.
Authorized official
- Name
- Kenny Heine
- Title
- Director of Operations
- Phone
- (858) 625-2990
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Campbell and Verducci
- Part of
- Tri - State Medical Group Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | G37227 | CA | Yes |
Addresses
Primary practice location
670 3Rd St W
Sonoma, CA 95476-6805
Mailing address
5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705
Other names
- Sonoma Internal Medicine
Other providers in Sonoma, CA
- Katy Ann Byrne
- Caliente Springs Physical Therapy Inc
- California Avant-Garde Physicians
- Gerald Joseph Camarata
- Campbell & Verducci
- S Douglas Campbell
- Julie Marie Carlson
- James A Carr
- Eliot Adams Carter
- Pamela Casacuberta
All providers in Sonoma, CA · Non-Pharmacy Dispensing Site in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.