Organization · Type 2 NPI

Prima Medical Group-Terra Linda

General Practice Physician · San Rafael, CA

NPI number 1730463258 Active

Practice location

4000 Civic Center Drive, Suite 200B
San Rafael, CA 94903

Call (415) 492-3333 Map

Fax (415) 492-3425

Mailing address

4 Hamilton Landing, Suite 100
Novato, CA 94949

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XG73451 (CA)
Multi-Specialty Clinic/Center 261QM1300XG55637 (CA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1730463258

Prima Medical Group-Terra Linda's National Provider Identifier is 1730463258, issued on Oct 3, 2011. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in San Rafael, CA. The record was last updated on Aug 14, 2012.