Prima Medical Foundation Sebastopol
Prima Medical Foundation Sebastopol is a Multi-Specialty Clinic/Center in Sebastopol, California. Registered with an NPI since 2008.
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
652 Petaluma Ave Ste HSebastopol, CA 95472-4256
Phone: (707) 823-7616
Fax: (707) 823-2803
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X |
|---|---|
| Primary Care Clinic/Center | Taxonomy 261QP2300X |
Record details
| NPI number | 1154590958 |
|---|---|
| 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 | February 26, 2008 |
| Last updated in NPPES | April 24, 2013 |
| Mailing address | 4 Hamilton Lndg Ste 100, Novato, CA 94949-8247 |