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Contact Information

PRIMA MEDICAL FOUNDATION
651 1ST STREET WEST
SUITE H
SONOMA, CA95476
 Phone: 707-938-3870
 Fax: 707-938-3895
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PRIMA MEDICAL FOUNDATION · (Female)

NPI # 1437313863
Status Active
Credentials
Entity Individual
Enumeration date 07/15/2008
Last updated 08/16/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # A106783
  • CA License # A65187
  • CA License # A66490
  • CA License # A92199
  • CA License # G55637
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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