Organization
CARDIOVASCULAR ASSOCIATES OF MARIN & SAN FRANCISCO MEDICAL GROUP INC
Active
Organization
CARDIOVASCULAR ASSOCIATES OF MARIN & SAN FRANCISCO MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RONNI A HIMY (ADMINISTRATOR)
(415) 927-8586
Entity
Organization
Contact information
Practice address
2 BON AIR RD, SUITE 100, LARKSPUR, CA 94939-1141
(415) 927-0666
(415) 927-6159
Mailing address
2 BON AIR RD, SUITE 100, LARKSPUR, CA 94939-1141
(415) 927-0666
(415) 937-6159
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
CA
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ83300Z
MEDICARE PTAN #
CA
Enumeration date
10/24/2005
Last updated
03/21/2014
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