# ROSS VALLEY MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902852510
- **Authorized official:** DR. FLASH GORDON M.D. (OWNER , CEO)
- **Authorized official phone:** (415) 461-2262

## Contact information

- **Practice address:** 1000 S. ELISEO DR. STE 204, GREENBRAE, CA 94903
- **Practice address phone:** (415) 461-2262
- **Practice address fax:** (415) 461-9376
- **Mailing address:** 1000 S. ELISEO DR. STE 204, GREENBRAE, CA 94904
- **Mailing address phone:** (415) 461-2262
- **Mailing address fax:** (415) 461-9376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | G37304 | CA | Yes |
| 207R00000X | Internal Medicine Physician | A61715 | CA | — |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 12/02/2014