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MARIN HEALTHCARE DISTRICT NPI 1942573555


NPI Information

NPI: 1942573555
Provider Name: MARIN HEALTHCARE DISTRICT

Other Name: SOLUNA SAUSALITO HEALTH CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
111 SECOND ST
SAUSALITO, CA
ZIP 94965
Phone: (415) 332-2600
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MARIN HEALTHCARE DISTRICT is a family medicine in Sausalito, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MARIN HEALTHCARE DISTRICT NPI is 1942573555. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Soluna Sausalito Health Center.

The provider's business location address is:

111 SECOND ST
SAUSALITO, CA
ZIP 94965-526
Phone: (415) 332-2600
Fax: (415) 332-2610

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 2/13/2012 and was last updated on 2/13/2012.


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
1207Q00000XFamily MedicineYes

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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