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MILL VALLEY FAMILY PRACTICE NPI 1073502118


NPI Information

NPI: 1073502118
Provider Name: MILL VALLEY FAMILY PRACTICE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
61 CAMINO ALTO
#107
MILL VALLEY, CA
ZIP 94941
Phone: (415) 388-0775
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MILL VALLEY FAMILY PRACTICE is a family medicine in Mill Valley, 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. MILL VALLEY FAMILY PRACTICE NPI is 1073502118. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

61 CAMINO ALTO
#107
MILL VALLEY, CA
ZIP 94941-934
Phone: (415) 388-0775
Fax: (415) 388-6542

The provider's authorized official is Gerald C. Freedman .
The authorized official title is Physician and has the following contact phone number (415) 388-0775.

The enumeration date for this NPI number is 10/20/2005 and was last updated on 8/22/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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