MARIN COMMUNITY CLINIC NPI 1912220781

NPI Information

MARIN COMMUNITY CLINIC is a federally qualified health center (fqhc) clinic center in Novato, CA. MARIN COMMUNITY CLINIC NPI is 1912220781. The provider is registered as an organization entity type.
The provider Is Doing Business As Marin Community Clinics.

The provider's business location address is:

6090 REDWOOD BLVD
SUITE D
NOVATO, CA
ZIP 94945-569
Phone: (415) 798-3109
Fax: (415) 798-3180

The provider's authorized official is John Shen .
The authorized official title is Executive Director and has the following contact phone number (415) 798-3107.

The enumeration date for this NPI number is 3/9/2010 and was last updated on 3/9/2010.

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:

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