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Organization
PRIMA MEDICAL FOUNDATION
Active
Organization
PRIMA MEDICAL FOUNDATION
Active
Parent organization
PRIMA MEDICAL FOUNDATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIMA MEDICAL FOUNDATION
Authorized official
MR. JOEL A. CRISTE (CEO)
(415) 884-1840
Entity
Organization
Contact information
Practice address
651 1ST STREET WEST, SUITE H, SONOMA, CA 95476
(707) 938-3870
(707) 938-3895
Mailing address
4 HAMILTON LANDING, SUITE 100, NOVATO, CA 94949
(415) 884-1840
(415) 883-7127
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A92199
CA
208000000X
Pediatrics Physician
A66490
CA
208000000X
Pediatrics Physician
G55637
CA
208600000X
Surgery Physician
A65187
CA
208D00000X
General Practice Physician
A106783
CA
Other
Enumeration date
07/15/2008
Last updated
08/16/2012
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