| Marin City Health And Wellness Center | |
|
1601 2nd St Suite 108 San Rafael CA 94901-2712 | |
| (415) 339-8813 | |
| (415) 339-8814 |
| Full Name | Marin City Health And Wellness Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1601 2nd St, San Rafael, California |
| Authorized Official Name and Position | Muhammad Jayvon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4153398813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marin City Health And Wellness Center 630 Drake Ave Sausalito CA 94965-1107 Ph: (415) 339-8813 | Marin City Health And Wellness Center 1601 2nd St Suite 108 San Rafael CA 94901-2712 Ph: (415) 339-8813 |
| NPI Number | 1962845131 |
|---|---|
| Provider Enumeration Date | 04/08/2013 |
| Last Update Date | 03/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962845131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 550000861 (California) | Primary |
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