Organization · Type 2 NPI
Prima Medical Foundation
General Practice Physician · Sausalito, CA
NPI number
1740444157
Active
Practice location
3 Harbor Drive, Suite 111
Sausalito, CA 94965
Fax (415) 683-2980
Mailing address
4 Hamilton Landing, Suite 100
Novato, CA 94949
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | G55637 (CA) |
| Surgery Physician | 208600000X | A65187 (CA) |
| General Practice Physician | 208D00000X | None listed |
| General Practice Physician Primary | 208D00000X | G47860 (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.
3 other providers at this address
About NPI 1740444157
Prima Medical Foundation's National Provider Identifier is 1740444157, issued on Jul 15, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Sausalito, CA. The record was last updated on Aug 14, 2012.