Provider Demographics
NPI:1619512548
Name:JOSHUA H RASSEN MD INC
Entity Type:Organization
Organization Name:JOSHUA H RASSEN MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:HERBERT
Authorized Official - Last Name:RASSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:707-935-3759
Mailing Address - Street 1:1545 N CASTLE RD
Mailing Address - Street 2:
Mailing Address - City:SONOMA
Mailing Address - State:CA
Mailing Address - Zip Code:95476-4864
Mailing Address - Country:US
Mailing Address - Phone:415-971-3642
Mailing Address - Fax:
Practice Address - Street 1:181 ANDRIEUX ST STE 202
Practice Address - Street 2:
Practice Address - City:SONOMA
Practice Address - State:CA
Practice Address - Zip Code:95476-6920
Practice Address - Country:US
Practice Address - Phone:707-933-0500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-14
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty