| Dr. Molly Koehler, Professional Corporation | |
|
1050 Northgate Dr Ste 250 San Rafael CA 94903-2511 | |
| (415) 225-9615 | |
| (415) 805-7243 |
| Full Name | Dr. Molly Koehler, Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 1050 Northgate Dr Ste 250, San Rafael, California |
| Authorized Official Name and Position | Tarin Molly Koehler (PRESIDENT) |
| Authorized Official Contact | 4152269615 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Molly Koehler, Professional Corporation 1050 Northgate Dr Ste 250 San Rafael CA 94903-2511 Ph: (415) 225-9615 | Dr. Molly Koehler, Professional Corporation 1050 Northgate Dr Ste 250 San Rafael CA 94903-2511 Ph: (415) 225-9615 |
| NPI Number | 1134946247 |
|---|---|
| Provider Enumeration Date | 09/21/2024 |
| Last Update Date | 01/14/2025 |
| Medicare PECOS PAC ID | 2264961655 |
|---|---|
| Medicare Enrollment ID | O20250130001179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134946247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tarin Molly Koehler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518163013 PECOS PAC ID: 4981735214 Enrollment ID: I20100629000955 |
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