Asp Providers Group of California, PC

Organization Active NPI Specialist · Petaluma, CA

NPI 1780101568 · NPPES record last updated Aug 23, 2017

Key facts

NPI
1780101568
Entity type
Organization (NPI type 2)
Primary specialty
Specialist 174400000X
Legal business name
ASP PROVIDERS GROUP OF CALIFORNIA, PC
Practice address
1350 Barlas LN
Petaluma, CA 94952-1280
Phone
(707) 778-1551
NPI assigned
Aug 23, 2017
Organization subpart
No

Authorized official

Name
David Richardson
Title
C.F.O
Phone
(832) 804-8704

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist
Group: 193400000X SINGLE SPECIALTY GROUP
174400000X Yes

Addresses

Primary practice location

1350 Barlas LN
Petaluma, CA 94952-1280

Mailing address

7324 Southwest Fwy Ste 1550
Houston, TX 77074-2053
Phone (713) 988-8400

Other providers in Petaluma, CA

All providers in Petaluma, CA · Specialist in California

Sources for this page

Verify at the official NPI Registry.