| Prima Medical Foundation Sebastopol | |
|
652 Petaluma Ave Suite H Sebastopol CA 95472-4256 | |
| (707) 823-7616 | |
| (707) 823-2803 |
| Full Name | Prima Medical Foundation Sebastopol |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 652 Petaluma Ave, Sebastopol, California |
| Authorized Official Name and Position | Dennis Mondragon (COO) |
| Authorized Official Contact | 4158841840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prima Medical Foundation Sebastopol 4 Hamilton Lndg Ste 100 Novato CA 94949-8247 Ph: (415) 884-1840 | Prima Medical Foundation Sebastopol 652 Petaluma Ave Suite H Sebastopol CA 95472-4256 Ph: (707) 823-7616 |
| NPI Number | 1154590958 |
|---|---|
| Provider Enumeration Date | 02/26/2008 |
| Last Update Date | 04/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154590958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Northern California Medical Assoc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 506 S Main St, Sebastopol, CA 95472 Phone: 707-829-5455 Fax: 707-824-9235 | |
Lips Chiropractic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1540 Hwy 116 S, Sebastopol, CA 95472 Phone: 707-200-3194 | |
Peter V. Madill, M.d. A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1020 Gravenstein Hwy. So., Suite 120, Sebastopol, CA 95472 Phone: 707-823-3312 Fax: 707-823-4901 | |
Bohemian Concierge Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 555 Petaluma Ave Ste B, Sebastopol, CA 95472 Phone: 707-239-9257 | |
Compassionate Concierge Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 555 Petaluma Ave Ste B1, Sebastopol, CA 95472 Phone: 707-694-2390 | |
West County Health Centers, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6800 Palm Ave, Suite C2, Sebastopol, CA 95472 Phone: 707-824-9999 Fax: 707-824-9335 |