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MARIN HEALTHCARE DISTRICT NPI 1467881201


NPI Information

NPI: 1467881201
Provider Name: MARIN HEALTHCARE DISTRICT

Doing Business As: MARIN UROLOGY CENTER

Classification: Urology - 208800000X
Entity Type: Organization
Address:
1000 S ELISEO DR
SUITE 201
GREENBRAE, CA
ZIP 94904
Phone: (415) 461-7445
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MARIN HEALTHCARE DISTRICT is an urology in Greenbrae, CA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. MARIN HEALTHCARE DISTRICT NPI is 1467881201. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Marin Urology Center.

The provider's business location address is:

1000 S ELISEO DR
SUITE 201
GREENBRAE, CA
ZIP 94904-133
Phone: (415) 461-7445
Fax: (415) 526-4085

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
1208800000XUrologyYes

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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