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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PRIMA MEDICAL FOUNDATION

Active Organization

PRIMA MEDICAL FOUNDATION is a Pediatrics organization located in MILL VALLEY, California. NPI 1366606766 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · MILL VALLEY, CA

Registration Details

NPI Number
1366606766
Provider Type
Organization
NPI Issued
Jul 15, 2008 (18.039572231815 yrs)
Last Updated
Aug 31, 2012
Licenses
G55637 (CA)
A65187 (CA)
A77821 (CA)

Practice Information

Address
655 REDWOOD HIGHWAY
SUITE 216
MILL VALLEY, CA, 94941
Browse CA providers · Browse ZIP 94941
Phone
4153833500
Fax
4153833554
Primary Specialty
Pediatrics
208000000X
Additional Specialty
General Surgery
Additional Specialty
General Practice
Additional Specialty
Pediatrics
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.