Preventive Medical Center Of Marin Inc in San Rafael - Primary Care
Preventive Medical Center Of Marin Inc - NPI 1912067828
Preventive Medical Center Of Marin Inc is a Primary Care in San Rafael, California. Preventive Medical Center Of Marin Inc practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Preventive Medical Center Of Marin Inc is 1912067828. The last update date is 2023-09-29.
Preventive Medical Center Of Marin Inc's current location address is 4340 Redwood Hwy Ste A-22, San Rafael, California. You can contact this provider via phone number 4154722343 and fax number 4154727636. The mailing address for Preventive Medical Center Of Marin Inc is 4340 Redwood Hwy Ste A-22, San Rafael, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Preventive Medical Center Of Marin Inc |
|---|---|
| Address | 4340 Redwood Hwy Ste A-22, San Rafael, California |
| Phone Number | 4154722343 |
| Fax Number | 4154727636 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER MEDI |
|---|---|
| Authorized Official Name | Haas M Elson |
| Credentials | MD |
| Telephone Number | 4154722343 |
NPI Number Detail
| NPI Number | 1912067828 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2023-09-29 |
Provider Mailing Address Detail
| Address | 4340 Redwood Hwy Ste A-22 |
|---|---|
| City | San Rafael |
| State | California (CA) |
| Post Code | 949032121 |
| Phone Number | 4154722343 |
| Fax Number | 4154727636 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 222384942 | BLUE SHIELD |
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What is the Preventive Medical Center Of Marin Inc's unique identification number?
The Preventive Medical Center Of Marin Inc has been assigned the NPI (National Provider Identifier) Number 1912067828 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Preventive Medical Center Of Marin Inc located?
The Preventive Medical Center Of Marin Inc is located at 4340 Redwood Hwy Ste A-22, San Rafael, CA 949032121.
What is Preventive Medical Center Of Marin Inc's area of expertise and its corresponding taxonomy classification?
The Preventive Medical Center Of Marin Inc's field of specialization is Primary Care, and it falls under the taxonomy code 261Qp2300X, which categorizes healthcare providers based on their areas of practice.
On what date did Preventive Medical Center Of Marin Inc receive its 1912067828 assignment from the Centers for Medicare & Medicaid Services?
The Preventive Medical Center Of Marin Inc was assigned its 1912067828 on 2006-12-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Preventive Medical Center Of Marin Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Preventive Medical Center Of Marin Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-09-29.
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