NORTHERN CALIFORNIA PODIATRY ASSOCIATES, INC.
Medical Practice at 4 St, Santa Rosa, CA

License number
California E4045
Category
Medical Practice
Type
Foot Surgery
Owner
Name: DR. EMILIZA NGO TAN DPM
Title: CEO
Phone: (707) 546-2107
Address
Address
1041 4Th St SUITE B, Santa Rosa, CA 95404
National Provider ID: 1982742250
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NORTHERN CALIFORNIA PODIATRY ASSOCIATES, INC

1041 4 St STE B, Santa Rosa, CA 95404

Status:
Inactive
Registration:
Mar 13, 2003
State ID:
C2503971
Business type:
Articles of Incorporation
President:
Emiliza Ngo Tan President, inactive
Agent:
Ken Waterman,Santa Rosa, CA 95401 (Physical)

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