Organization
MARIN CITY HEALTH AND WELLNESS CENTER
Active
Organization
MARIN CITY HEALTH AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD JAYVON (EXECUTIVE DIRECTOR)
(415) 339-8813
Entity
Organization
Contact information
Practice address
1601 2ND ST, SUITE 108, SAN RAFAEL, CA 94901-2712
(415) 339-8813
(415) 339-8814
Mailing address
630 DRAKE AVE, SAUSALITO, CA 94965-1107
(415) 339-8813
(415) 339-8814
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
550000861
CA
Other
Enumeration date
04/08/2013
Last updated
03/04/2016
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