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
75 ROWLAND WAY, SUITE 100, NOVATO, CA 94945
(415) 897-9664
(415) 897-2446
Mailing address
4 HAMILTON LANDING, SUITE 100, NOVATO, CA 94949
(415) 884-1840
(415) 884-3510
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
G73388
CA
208000000X
Pediatrics Physician
G55637
CA
208600000X
Surgery Physician
A65187
CA
208D00000X
General Practice Physician
Primary
G55637
CA
208D00000X
General Practice Physician
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—
Other
Enumeration date
07/15/2008
Last updated
08/14/2012
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