Prima Medical Foundation
Prima Medical Foundation is a General Practice Physician in Sebastopol, California. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
652 Petaluma Ave Ste HSebastopol, CA 95472-4256
Phone: (707) 823-7616
Fax: (707) 823-2803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|
Record details
| NPI number | 1902244528 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Prima Medical Foundation |
| Authorized official | Dennis Mondragon — Coo · (415) 884-1840 |
| Other names | Prima Medical Group |
| NPI enumerated | June 5, 2013 |
| Last updated in NPPES | June 5, 2013 |
| Mailing address | 4 Hamilton Lndg, Suite 100, Novato, CA 94949-8256 |
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