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ENTEGRATIVE OTOLARYNGOLOGY PC
NPI 1417294174
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Santa Rosa, CA

Active since January 14, 2013
1144 SONOMA AVE STE 101, SANTA ROSA, CA 95405(707) 775-0775 Get Directions Write a Review

NPPES record last updated: January 14, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Entegrative Otolaryngology Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENTEGRATIVE OTOLARYNGOLOGY PC (NPI 1417294174) is a healthcare organization registered as an otolaryngology/facial plastic surgery in Santa Rosa, California and active in the NPI registry since January 2013. The organization lists Larry Kyle Gambrell, Director/ceo, as its authorized official.

NPPES Registry Identity

NPI1417294174
Entity TypeOrganization
Primary Taxonomy207YX0905X
Legal Business NameENTEGRATIVE OTOLARYNGOLOGY PC
Location Address1144 SONOMA AVE STE 101Santa Rosa, CA 95405-4812
Mailing Address1144 Sonoma Ave Ste 101Santa Rosa, CA 95405-4812 · (707) 775-0775
Phone(707) 775-0775
Organization SubpartNo
Authorized OfficialLarry Kyle GambrellDirector/ceo · (267) 456-4848
Enumeration DateJanuary 14, 2013
✔ NPI 1417294174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in CA · C3527438
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
1144 SONOMA AVE STE 101, Santa Rosa, CA 95405
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Entegrative Otolaryngology PC's NPI number?

The NPI number for Entegrative Otolaryngology PC is 1417294174. It was assigned to this organization in the NPPES registry on January 14, 2013.

Where is Entegrative Otolaryngology PC located?

Entegrative Otolaryngology PC is located at 1144 Sonoma Ave Ste 101, Santa Rosa, CA 95405. The listed phone number is (707) 775-0775.

What is Entegrative Otolaryngology PC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

When was this NPI record last updated?

The NPPES record for Entegrative Otolaryngology PC was last updated on January 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.