| Ornish Lifestyle Medicine Corporation | |
|
900 Bridgeway Ste 1 Sausalito CA 94965-2100 | |
| (415) 332-2525 | |
| (415) 332-2588 |
| Full Name | Ornish Lifestyle Medicine Corporation |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 900 Bridgeway Ste 1, Sausalito, California |
| Authorized Official Name and Position | Dean M Ornish (PRESIDENT & CEO) |
| Authorized Official Contact | 4153322525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ornish Lifestyle Medicine Corporation 900 Bridgeway Ste 1 Sausalito CA 94965-2100 Ph: (415) 332-2525 | Ornish Lifestyle Medicine Corporation 900 Bridgeway Ste 1 Sausalito CA 94965-2100 Ph: (415) 332-2525 |
| NPI Number | 1003536236 |
|---|---|
| Provider Enumeration Date | 08/29/2022 |
| Last Update Date | 08/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003536236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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