# MARIN HILLS MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1962585786
- **Authorized official:** DR. PETER BARRY MD (CO CEO)
- **Authorized official phone:** (415) 457-7414

## Contact information

- **Practice address:** 711 D STREET, SUITE 102, SAN RAFAEL, CA 94901
- **Practice address phone:** (415) 457-7414
- **Practice address fax:** (415) 460-2750
- **Mailing address:** 711 D STREET, SUITE 102, SAN RAFAEL, CA 94901
- **Mailing address phone:** (415) 457-7414
- **Mailing address fax:** (415) 460-2750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G23690 | CA | — |
| 208D00000X | General Practice Physician | G28033 | CA | Yes |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 09/11/2025