|
| |
|
6090 Redwood Blvd Suite D Novato CA 94945-4569 | |
| (415) 798-3109 | |
| (415) 798-3180 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 6090 Redwood Blvd, Novato, California |
| Authorized Official Name and Position | John Shen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4157983107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6090 Redwood Blvd Suite G Novato CA 94945-4569 Ph: (415) 798-3109 | 6090 Redwood Blvd Suite D Novato CA 94945-4569 Ph: (415) 798-3109 |
| NPI Number | 1912220781 |
|---|---|
| Provider Enumeration Date | 03/09/2010 |
| Last Update Date | 03/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912220781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Marin Community Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6100 Redwood Blvd, Novato, CA 94945 Phone: 415-448-1500 Fax: 415-798-3198 | |
Matrix Parent Netwrok And Resource Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 94 Galli Dr, Suite C, Novato, CA 94949 Phone: 415-884-3535 | |
Glutality Provider Group Of California Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7250 Redwood Blvd Ste 300, Novato, CA 94945 Phone: 561-678-2026 Fax: 561-423-9249 | |
Veterans Administration Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Lavenham Rd, Novato, CA 94949 Phone: 415-218-1435 | |
Novato Internal Medicine Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Rowland Way, Suite 201, Novato, CA 94945 Phone: 415-897-3174 Fax: 415-892-9589 | |
Aspire Hospitalist Management Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Rowland Way, Novato, CA 94945 Phone: 415-990-7901 |