National Provider Identifier Database

PRIMA MEDICAL FOUNDATION
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

PRIMA MEDICAL FOUNDATION
655 REDWOOD HIGHWAY
SUITE 216
MILL VALLEY, CA94941
Phone: 415-383-3500
Fax: 415-383-3554
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X
General Practice 208D00000X
Surgery 208600000X

* Indicates primary specialty

NPI Profile & details for PRIMA MEDICAL FOUNDATION

NPI Number 1366606766
Legal business name
LBN
PRIMA MEDICAL FOUNDATION
Authorized official JOEL CRISTE - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 07/15/2008
Last updated 08/31/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: A65187
  • CA License #: A77821
  • CA License #: G55637

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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