Clarity-James Medical Services Corp
Psychiatry & Neurology, Psychiatry in San Rafael, CA. Organization (NPI-2).
NPI number1972192953
StatusActive
Last updated in NPPESFeb 4, 2025
Details
- NPI
- 1972192953
- Entity type
- Organization (NPI-2)
- Legal business name
- Clarity-James Medical Services Corp
- Organization subpart
- No
- Enumeration date
- Jan 13, 2021
- Certification date
- Feb 4, 2025
- Last updated
- Feb 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
4040 Civic Center Dr Ste 200San Rafael, CA 94903-4187
Phone 111-111-1111
Mailing address
4040 Civic Center Dr Ste 200San Rafael, CA 94903-4187
Authorized official
Adam Wolf Widen
Director
4157958050
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