# ROMEO C. AGBAYANI JR MD A PROFESSIONAL MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Marin ENT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700477155
- **Authorized official:** ROSA OCHOA (OFFICE MANAGER)
- **Authorized official phone:** (415) 461-9770

## Contact information

- **Practice address:** 1000 S ELISEO DR STE 103, GREENBRAE, CA 94904-2150
- **Practice address phone:** (415) 461-9770
- **Practice address fax:** (415) 366-8528
- **Mailing address:** 1000 S ELISEO DR STE 103, GREENBRAE, CA 94904-2150
- **Mailing address phone:** (415) 461-9770
- **Mailing address fax:** (415) 366-8528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/28/2021
- **Last updated:** 09/08/2021