Organization · Type 2 NPI

Prima Medical Foundation

General Practice Physician · Sebastopol, CA

NPI number 1902244528 Active

Practice location

652 Petaluma Ave, Suite H
Sebastopol, CA 95472-4256

Call (707) 823-7616 Map

Fax (707) 823-2803

Mailing address

4 Hamilton Lndg, Suite 100
Novato, CA 94949-8256

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

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 1902244528

Prima Medical Foundation's National Provider Identifier is 1902244528, issued on Jun 5, 2013. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Sebastopol, CA. The record was last updated on Jun 5, 2013.