Healthcare Provider Details

I. General information

NPI: 1306402573
Provider Name (Legal Business Name): REDWOOD RADIOLOGY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2019
Last Update Date: 05/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 JANES RD
ARCATA CA
95521-4742
US

IV. Provider business mailing address

PO BOX 3222
NAPA CA
94558-0293
US

V. Phone/Fax

Practice location:
  • Phone: 707-826-8266
  • Fax: 707-256-3508
Mailing address:
  • Phone: 707-261-7825
  • Fax: 707-256-3508

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: NATALIA ZARZHEVSKY
Title or Position: PRESIDENT
Credential: MD
Phone: 707-261-7880