Prima Medical Foundation | |
75 Rowland Way #100 Novato CA 94945-5037 | |
(415) 897-9664 | |
Not Available |
Full Name | Prima Medical Foundation |
---|---|
Speciality | Internal Medicine |
Location | 75 Rowland Way, Novato, California |
Authorized Official Name and Position | Joel A. Criste (CEO) |
Authorized Official Contact | 4158841840 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Prima Medical Foundation 4 Hamilton Lndg Suite 100 Novato CA 94949-8256 Ph: (415) 884-1840 | Prima Medical Foundation 75 Rowland Way #100 Novato CA 94945-5037 Ph: (415) 897-9664 |
NPI Number | 1639450299 |
---|---|
Provider Enumeration Date | 09/08/2011 |
Last Update Date | 07/24/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639450299 | NPI | - | NPPES |
ZZZ03538Z | Other | CA | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | G44949 (California) | Primary |
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