Dermatology Consultants Of Marin INC
Dermatology in San Rafael, CA. Organization (NPI-2).
NPI number1194759720
StatusActive
Last updated in NPPESFeb 29, 2008
Details
- NPI
- 1194759720
- Entity type
- Organization (NPI-2)
- Legal business name
- Dermatology Consultants Of Marin INC
- Organization subpart
- No
- Enumeration date
- Jul 10, 2006
- Last updated
- Feb 29, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 039815 | CA | Yes |
Practice location
5000 Civic Center DrSan Rafael, CA 94903-4184
Phone 415-499-0100 · Fax 415-499-0290
Mailing address
5000 Civic Center DrSan Rafael, CA 94903-4184
Phone 415-499-0100 · Fax 415-499-0290
Authorized official
Amy S Kobalter
Secretary
4154990100
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