Organization
MARIN CITY HEALTH AND WELLNESS CENTER
Active
Organization
MARIN CITY HEALTH AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYVON MUHAMMAD (CHIEF EXECUTIVE OFFICER)
(415) 339-8813
Entity
Organization
Contact information
Practice address
880 LAS GALLINAS AVE, SUITE 2, SAN RAFAEL, CA 94903
(415) 339-8813
Mailing address
630 DRAKE AVE, SAUSALITO, CA 94965-1107
(415) 339-8813
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
55000861
CA
Other
Enumeration date
05/11/2017
Last updated
07/11/2018
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