Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mill Valley Family Practice

Organization Family Medicine Physician · NPI 1073502118

Mill Valley Family Practice is a Family Medicine Physician in Mill Valley, California. Registered with an NPI since 2005.

In the registry since
2005

Practice location Address checks out

61 Camino Alto #107
Mill Valley, CA 94941-2934
Phone: (415) 388-0775
Fax: (415) 388-6542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1073502118
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gerald Freedman — Physician · (415) 388-0775
NPI enumeratedOctober 20, 2005
Last updated in NPPESAugust 22, 2020
Mailing address61 Camino Alto, 107, Mill Valley, CA 94941-2934

Other providers in Mill Valley