| Prima Medical Group, Inc. | |
|
4000 Civic Center Dr #200b San Rafael CA 94903-4171 | |
| (415) 492-3333 | |
| (415) 492-3425 |
| Full Name | Prima Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 4000 Civic Center Dr, San Rafael, California |
| Authorized Official Name and Position | Joseph a Habris (PHYSICIAN/MEDICAL DIRECTOR) |
| Authorized Official Contact | 4154923333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prima Medical Group, Inc. 3 Hamilton Landing #160 Novato CA 94948 Ph: (415) 884-1840 | Prima Medical Group, Inc. 4000 Civic Center Dr #200b San Rafael CA 94903-4171 Ph: (415) 492-3333 |
| NPI Number | 1154377489 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 09/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154377489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G73451 (California) | Primary |
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