# PRIMA MEDICAL FOUNDATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRIMA MEDICAL FOUNDATION
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033503446
- **Legal business name:** PRIMA MEDICAL FOUNDATION
- **Authorized official:** WAYNE FAIRCHILD (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (415) 842-5101

## Contact information

- **Practice address:** 75 ROWLAND WAY, SUITE 275, NOVATO, CA 94945-5037
- **Practice address phone:** (415) 461-7800
- **Mailing address:** 9 COMMERCIAL BLVD, SUITE 200, NOVATO, CA 94949-6118
- **Mailing address phone:** (415) 842-5038

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/24/2015
- **Last updated:** 03/24/2015