Green, Gopa

Green, Gopa is an individual health care provider with primary practice located at 2301 Circadian Way Suite A, Santa Rosa CA 95407-5416. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Green, Gopa can be contacted via phone (707) 526-2027.

Contact Information

Primary practice address
2301 Circadian Way Suite A Santa Rosa CA 95407-5416
Phone: (707) 526-2027
Fax: (707) 526-2096
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A91188 California

Profile Details

NPI number 1467403568
LBN Legal business name Green, Gopa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated May 2nd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467403568 NPPES
California MEDICAID 00A911880

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