Provider Demographics
NPI:1154470342
Name:COUNTY OF SONOMA DEPARTMENT OF HEALTH
Entity Type:Organization
Organization Name:COUNTY OF SONOMA DEPARTMENT OF HEALTH
Other - Org Name:DEPARTMENT OF HEALTH - PUBLIC HEALTH DIVISION
Other - Org Type:Other Name
Authorized Official - Title/Position:ACCOUNTANT III - COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:STORNETTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-565-4782
Mailing Address - Street 1:625 5TH ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95404-4428
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:625 5TH ST
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95404-4428
Practice Address - Country:US
Practice Address - Phone:707-656-4400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare