Prima Medical Foundation

NPI #1073892717 in Greenbrae, California

Provider Information

NPI Number: 1073892717
Entity Type: Organization
Organization Name: Prima Medical Foundation
Subpart: Yes (part of a larger organization)
Parent Organization: PRIMA MEDICAL FOUNDATION
Primary Specialty: Surgery
Enumeration Date: Aug 11, 2011
Last Updated: Jul 24, 2012

Practice Location

Address: 1350 S ELISEO DR
Address 2: #210
City: Greenbrae
State: California
ZIP Code: 94904-2011
Phone: (415) 925-5035

Authorized Official

Name: MR. JOEL A. CRISTE
Title: CEO
Phone: (415) 884-1840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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