Provider Demographics
NPI:1003089558
Name:SONOMA NATUROPATHIC MEDICINE
Entity Type:Organization
Organization Name:SONOMA NATUROPATHIC MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATUROPATHIC DOCTOR-- CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:H
Authorized Official - Last Name:PORRINO
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:707-996-9355
Mailing Address - Street 1:710 W NAPA ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SONOMA
Mailing Address - State:CA
Mailing Address - Zip Code:95476-6408
Mailing Address - Country:US
Mailing Address - Phone:707-996-9355
Mailing Address - Fax:707-996-9356
Practice Address - Street 1:710 W NAPA ST
Practice Address - Street 2:SUITE 1
Practice Address - City:SONOMA
Practice Address - State:CA
Practice Address - Zip Code:95476-6408
Practice Address - Country:US
Practice Address - Phone:707-996-9355
Practice Address - Fax:707-996-9356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-04
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA294175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty