Organization
MARIN COMMUNITY CLINIC
Active
Other names
Marin Community Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN SHEN DSW (EXECUTIVE DIRECTOR)
(415) 798-3107
Entity
Organization
Contact information
Practice address
6090 REDWOOD BLVD, SUITE D, NOVATO, CA 94945-4569
(415) 798-3109
(415) 798-3180
Mailing address
6090 REDWOOD BLVD, SUITE G, NOVATO, CA 94945-4569
(415) 798-3109
(415) 798-3180
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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