| Soluna Sausalito Health Center | |
|
111 Second St Sausalito CA 94965-2526 | |
| (415) 332-2600 | |
| (415) 332-2610 |
| Full Name | Soluna Sausalito Health Center |
|---|---|
| Speciality | Family Medicine |
| Location | 111 Second St, Sausalito, California |
| Authorized Official Name and Position | Lee Domanico (CEO) |
| Authorized Official Contact | 4154642090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soluna Sausalito Health Center 100 Drakes Landing Rd # B Suite 250 Greenbrae CA 94904-2404 Ph: (415) 464-2090 | Soluna Sausalito Health Center 111 Second St Sausalito CA 94965-2526 Ph: (415) 332-2600 |
| NPI Number | 1942573555 |
|---|---|
| Provider Enumeration Date | 02/13/2012 |
| Last Update Date | 02/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942573555 | NPI | - | NPPES |
| CS440A | Other | CA | MEDICARE GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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