Organization
MARIN COMMUNITY CLINIC
Active
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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