| Tamalpais Internal Medicine | |
|
1100 S Eliseo Dr Suite 2a Greenbrae CA 94904-2017 | |
| (415) 795-7000 | |
| (415) 329-1401 |
| Full Name | Tamalpais Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1100 S Eliseo Dr, Greenbrae, 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 |
|---|---|
| Tamalpais Internal Medicine Po Box 45094 San Francisco CA 94145-0094 Ph: (415) 464-2090 | Tamalpais Internal Medicine 1100 S Eliseo Dr Suite 2a Greenbrae CA 94904-2017 Ph: (415) 795-7000 |
| NPI Number | 1770913741 |
|---|---|
| Provider Enumeration Date | 11/12/2013 |
| Last Update Date | 11/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770913741 | NPI | - | NPPES |
| CS440A | Other | CA | MEDICARE GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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