| El Rose Medical Group | |
|
24 West El Rose Ave Petaluma CA 94952 | |
| (707) 763-9891 | |
| (707) 763-9896 |
| Full Name | El Rose Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 24 West El Rose Ave, Petaluma, California |
| Authorized Official Name and Position | David A Sisler (OWNER) |
| Authorized Official Contact | 7077639491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| El Rose Medical Group 24 West El Rose Ave Petaluma CA 94952 Ph: (707) 763-9891 | El Rose Medical Group 24 West El Rose Ave Petaluma CA 94952 Ph: (707) 763-9891 |
| NPI Number | 1902976236 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 07/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902976236 | NPI | - | NPPES |
| C26495 | Other | STATE LICENSE # | |
| CP6140 | Other | RAILROAD MEDICARE | |
| ZZZ75987Z | Other | MEDI CAL | |
| AROSE0543 | Other | BLUE CROSS BLUE SHIELD | |
| C17753 | Other | STATE LICENSE # | |
| G21106 | Other | STATE LICENSE # | |
| ZZZ75987Z | Other | MEDI CAL GRP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
News Archive
The Ensign Group, Inc., the parent company of the Ensign group of skilled nursing, rehabilitative care services and assisted living companies, today announced that its Board of Directors has declared a quarterly cash dividend of $0.06 per share of Ensign common stock, payable on or before January 31, 2012 to shareholders of record as of December 31, 2011.
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› Verified 6 days ago
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