Marin Healthcare District
Internal Medicine in Novato, CA. Organization (NPI-2).
NPI number1851664528
StatusActive
Last updated in NPPESOct 31, 2013
Details
- NPI
- 1851664528
- Entity type
- Organization (NPI-2)
- Legal business name
- Marin Healthcare District
- Organization subpart
- No
- Enumeration date
- Feb 10, 2012
- Last updated
- Oct 31, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Other names
- North Marin Internal Medicine Specialists (Other Name)
Practice location
165 Rowland WaySuite 201
Novato, CA 94945-5038
Phone 415-897-3174 · Fax 415-892-9589
Mailing address
Po Box 45094San Francisco, CA 94145-0094
Phone 415-464-2090 · Fax 415-464-2094
Authorized official
Lee Domanico
Ceo
4154642090
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