Prima Medical Foundation

NPI #1437313863 in Sonoma, California

Provider Information

NPI Number: 1437313863
Entity Type: Organization
Organization Name: Prima Medical Foundation
Subpart: Yes (part of a larger organization)
Parent Organization: PRIMA MEDICAL FOUNDATION
Primary Specialty: Internal Medicine
Enumeration Date: Jul 15, 2008
Last Updated: Aug 16, 2012

Practice Location

Address: 651 1ST STREET WEST
Address 2: SUITE H
City: Sonoma
State: California
ZIP Code: 95476
Phone: (707) 938-3870

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X
Pediatrics	208000000X
Surgery	208600000X
Internal Medicine	207R00000X	Primary

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