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TIDES CENTER NPI 1457496655


NPI Information

NPI: 1457496655
Provider Name: TIDES CENTER

Doing Business As: THE TOM STEEL CLINIC, A PROJECT OF THE TIDES CENTER

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
655 REDWOOD HWY
200
MILL VALLEY, CA
ZIP 94941
Phone: (415) 383-6623
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TIDES CENTER is a specialist in Mill Valley, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. TIDES CENTER NPI is 1457496655. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Tom Steel Clinic, A Project Of The Tides Center.

The provider's business location address is:

655 REDWOOD HWY
200
MILL VALLEY, CA
ZIP 94941-034
Phone: (415) 383-6623
Fax: (415) 383-6671

The provider's authorized official is Milton Estes .
The authorized official title is Medical Director and has the following contact phone number (415) 383-6623.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 7/21/2022.


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
1174400000XSpecialistCALIFORNIAYes

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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