Organization
MARIN COMMUNITY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARHAN FADOO MD (CHIEF EXECUTIVE OFFICER)
(415) 755-2581
Entity
Organization
Contact information
Practice address
999 3RD ST, SAN RAFAEL, CA 94901-3100
(415) 448-1500
(415) 526-8534
Mailing address
9 COMMERCIAL BLVD, NOVATO, CA 94949-6118
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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