MAIN STREET MEDICAL NPI 1023488970

NPI Information

MAIN STREET MEDICAL is a family medicine in Half Moon Bay, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MAIN STREET MEDICAL NPI is 1023488970. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

799 MAIN ST
SUITE D
HALF MOON BAY, CA
ZIP 94019-996
Phone: (650) 726-1200
Fax: (650) 726-1236

The provider's authorized official is Pamela Celeste Carrington-tribble .
The authorized official title is Physician/owner and has the following contact phone number (650) 726-1200.

The enumeration date for this NPI number is 10/5/2015 and was last updated on 10/5/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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