Healthcare Provider Details

I. General information

NPI: 1386647857
Provider Name (Legal Business Name): CITY OF SONOMA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2005
Last Update Date: 11/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 SECOND STREET WEST
SONOMA CA
95476-6901
US

IV. Provider business mailing address

#1 THE PLAZA
SONOMA CA
95476-6901
US

V. Phone/Fax

Practice location:
  • Phone: 707-996-2102
  • Fax: 707-996-2868
Mailing address:
  • Phone: 707-938-3681
  • Fax: 707-938-2559

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: CAROL ELIZABETH GIOVANATTO
Title or Position: CHIEF FINANCIAL OFF.
Credential:
Phone: 707-933-2213