Prima Medical Foundation

NPI #1548258106 in Greenbrae, California

Provider Information

NPI Number: 1548258106
Entity Type: Organization
Organization Name: Prima Medical Foundation
Subpart: Yes (part of a larger organization)
Parent Organization: PRIMA MEDICAL FOUNDATION
Primary Specialty: General Practice
Enumeration Date: Oct 7, 2005
Last Updated: Aug 13, 2015

Practice Location

Address: 1260 S ELISEO DR
Address 2: FLOOR 2
City: Greenbrae
State: California
ZIP Code: 94904-2009
Phone: (415) 461-7800

Authorized Official

Name: JOANNA RUBEL
Title: SR. DIRECTOR OF PRACTICE OPERATIONS
Phone: (415) 842-5103

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary
Internal Medicine - Interventional Cardiology — Interventional Cardiology	207RI0011X
Internal Medicine - Pulmonary Disease — Pulmonary Disease	207RP1001X

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