# PRIMA MEDICAL FOUNDATION

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

## Provider details

- **NPI number:** 1609157734
- **Legal business name:** PRIMA MEDICAL FOUNDATION
- **Authorized official:** JOANNA RUBEL (SR. DIRECTOR OF PRATICE OPERATIONS)
- **Authorized official phone:** (415) 842-5103

## Contact information

- **Practice address:** 100 A DRAKES LANDING RD, SUITE 225, GREENBRAE, CA 94904-3119
- **Practice address phone:** (415) 461-7800
- **Mailing address:** 4 HAMILTON LNDG, SUITE 100, NOVATO, CA 94949-8256
- **Mailing address phone:** (415) 884-1840
- **Mailing address fax:** (415) 884-3510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 208600000X | Surgery Physician | A65187 | CA | — |

## Other

- **Enumeration date:** 09/02/2011
- **Last updated:** 07/21/2015