Organization
TERRA LINDA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES C PALMIGIANO M.D. (OWNER)
(415) 479-1022
Entity
Organization
Contact information
Practice address
920 NORTHGATE DR, SUITE 6, SAN RAFAEL, CA 94903-3429
(415) 479-1022
Mailing address
920 NORTHGATE DR, SUITE 6, SAN RAFAEL, CA 94903-3429
(415) 479-1022
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
000G91390
CA
Other
Enumeration date
09/25/2006
Last updated
08/22/2020
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