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MARIN HEALTHCARE DISTRICT NPI 1891124632


NPI Information

NPI: 1891124632
Provider Name: MARIN HEALTHCARE DISTRICT

Doing Business As: SIRONA VASCULAR CENTER

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
1100 S ELISEO DR
SUITE 2A
GREENBRAE, CA
ZIP 94904
Phone: (415) 464-5400
Get Directions

MARIN HEALTHCARE DISTRICT is a vascular surgery surgery in Greenbrae, CA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. MARIN HEALTHCARE DISTRICT NPI is 1891124632. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sirona Vascular Center.

The provider's business location address is:

1100 S ELISEO DR
SUITE 2A
GREENBRAE, CA
ZIP 94904-017
Phone: (415) 464-5400
Fax: (415) 464-5413

The provider's authorized official is Lee Domanico .
The authorized official title is Ceo and has the following contact phone number (415) 464-2090.

The enumeration date for this NPI number is 11/2/2013 and was last updated on 11/2/2013.


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
12086S0129XSurgeryVascular SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CS440AOTHERCALIFORNIAMEDICARE GROUP PTAN

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: 11/14/2023

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