Prima Medical Foundation

NPI #1740444157 in Sausalito, California

Provider Information

NPI Number: 1740444157
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: Jul 15, 2008
Last Updated: Aug 14, 2012

Practice Location

Address: 3 HARBOR DRIVE
Address 2: SUITE 111
City: Sausalito
State: California
ZIP Code: 94965
Phone: (415) 683-2988

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary
Pediatrics	208000000X
Surgery	208600000X

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