National Provider Identifier Database

PRIMA MEDICAL GROUP TERRA LINDA
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

PRIMA MEDICAL GROUP-TERRA LINDA
4000 CIVIC CENTER DRIVE
SUITE 200B
SAN RAFAEL, CA94903
Phone: 415-492-3333
Fax: 415-492-3425
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Multi-Specialty 261QM1300X

* Indicates primary specialty

NPI Profile & details for PRIMA MEDICAL GROUP-TERRA LINDA

NPI Number 1730463258
Legal business name
LBN
PRIMA MEDICAL GROUP-TERRA LINDA
Authorized official JOEL CRISTE - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 10/03/2011
Last updated 08/14/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: G55637
  • CA License #: G73451

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.

Reviews for PRIMA MEDICAL GROUP-TERRA LINDA

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