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NPI Profile for PRIMA MEDICAL FOUNDATION in SAUSALITO, CA.
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Pediatrics |
208000000X | 37 | Physician/Pediatric Medicine | |
Surgery |
208600000X | 02 | Physician/General Surgery |
| NPI # | 1740444157 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/15/2008 | |
| Last updated | 08/14/2012 - About 14 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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PRIMA MEDICAL FOUNDATION
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PRIMA MEDICAL FOUNDATION