Cardiovascular Associates of Marin & San Francisco Medical Group Inc

Organization Active NPI Cardiovascular Disease Physician · Larkspur, CA

NPI 1790775609 · NPPES record last updated Mar 21, 2014

Key facts

NPI
1790775609
Entity type
Organization (NPI type 2)
Primary specialty
Cardiovascular Disease Physician 207RC0000X
Legal business name
CARDIOVASCULAR ASSOCIATES OF MARIN & SAN FRANCISCO MEDICAL GROUP INC
Practice address
2 Bon Air Rd
Suite 100
Larkspur, CA 94939-1141
Phone
(415) 927-0666
Fax
(415) 927-6159
NPI assigned
Oct 24, 2005
Organization subpart
No

Authorized official

Name
Ms. Ronni A Himy
Title
Administrator
Phone
(415) 927-8586

National Provider Directory

Locations

2 Bon Air Rd
Ste 100
Larkspur, CA 94939

500 Doyle Park Dr
Ste 105
Santa Rosa, CA 95405
Phone (707) 528-8383

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RC0000X CA
Cardiovascular Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RC0000X Yes

Addresses

Primary practice location

2 Bon Air Rd
Suite 100
Larkspur, CA 94939-1141

Mailing address

2 Bon Air Rd
Suite 100
Larkspur, CA 94939-1141
Phone (415) 927-0666

Other identifiers

IdentifierTypeStateIssuer
ZZZ83300ZOtherCAMEDICARE PTAN #

Other providers in Larkspur, CA

All providers in Larkspur, CA · Cardiovascular Disease Physician in California

Sources for this page

Verify at the official NPI Registry.