| 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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