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MARIN HEALTHCARE DISRICT NPI 1386073120


NPI Information

NPI: 1386073120
Provider Name: MARIN HEALTHCARE DISRICT

Doing Business As: MARIN ENDOCRINE CENTER

Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
900 S ELISEO DR
SUITE 201
GREENBRAE, CA
ZIP 94904
Phone: (415) 461-1780
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MARIN HEALTHCARE DISRICT is an endocrinology and diabetes and metabolism internal medicine in Greenbrae, CA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. MARIN HEALTHCARE DISRICT NPI is 1386073120. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Marin Endocrine Center.

The provider's business location address is:

900 S ELISEO DR
SUITE 201
GREENBRAE, CA
ZIP 94904-134
Phone: (415) 461-1780
Fax: (415) 461-7378

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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

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: 4/28/2024

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