Organization
MARIN COMMUNITY CLINIC
Active
Other names
Tamalpais High School
Organization subpart
No
Provider details
NPI number
Authorized official
FARHAN FADOO MD (CHIEF EXECUTIVE OFFICER)
(415) 755-2581
Entity
Organization
Contact information
Practice address
700 MILLER AVE, MILL VALLEY, CA 94941-2926
(415) 798-3133
Mailing address
9 COMMERCIAL BLVD STE 103, NOVATO, CA 94949-6118
(415) 798-3133
(415) 798-3104
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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