| Terra Linda Medical Group | |
|
920 Northgate Dr Suite 6 San Rafael CA 94903-3429 | |
| (415) 479-1022 | |
| Not Available |
| Full Name | Terra Linda Medical Group |
|---|---|
| Speciality | Clinic/center |
| Location | 920 Northgate Dr, San Rafael, California |
| Authorized Official Name and Position | Charles C Palmigiano (OWNER) |
| Authorized Official Contact | 4154791022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terra Linda Medical Group 920 Northgate Dr Suite 6 San Rafael CA 94903-3429 Ph: (415) 479-1022 | Terra Linda Medical Group 920 Northgate Dr Suite 6 San Rafael CA 94903-3429 Ph: (415) 479-1022 |
| NPI Number | 1548361504 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548361504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 000G91390 (California) | Primary |
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