| Marin City Health And Wellness Center | |
|
630 Drake Ave Sausalito CA 94965-1107 | |
| (415) 339-8813 | |
| (415) 339-8813 |
| Full Name | Marin City Health And Wellness Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 630 Drake Ave, Sausalito, California |
| Authorized Official Name and Position | Patricia Rodriguez (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 4153398813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marin City Health And Wellness Center 630 Drake Ave Sausalito CA 94965-1107 Ph: (415) 339-8813 | Marin City Health And Wellness Center 630 Drake Ave Sausalito CA 94965-1107 Ph: (415) 339-8813 |
| NPI Number | 1932629334 |
|---|---|
| Provider Enumeration Date | 06/27/2017 |
| Last Update Date | 06/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932629334 | NPI | - | NPPES |
| 1285804948 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 550000861 (California) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 550000861 (California) | Primary |
Danielle Abramo Levi Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Caledonia St Ste B, Sausalito, CA 94965 Phone: 415-332-4011 Fax: 415-332-9114 | |
Dr. Monique Mcquade, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 South St, #106, Sausalito, CA 94965 Phone: 917-697-0442 | |
Laurence M Brownstein Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Caledonia St, Sausalito, CA 94965 Phone: 415-332-2458 Fax: 415-332-5687 |