Organization
CLARITY-JAMES MEDICAL SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM WOLF WIDEN (DIRECTOR)
(415) 795-8050
Entity
Organization
Contact information
Practice address
4040 CIVIC CENTER DR STE 200, SAN RAFAEL, CA 94903-4187
(111) 111-1111
Mailing address
4040 CIVIC CENTER DR STE 200, SAN RAFAEL, CA 94903-4187
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C4674875
BUSINESS LICENSE
CA
Enumeration date
01/13/2021
Last updated
02/04/2025
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