| Organization Name: | PRIMA MEDICAL FOUNDATION |
| NPI Number: | 1740444157 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOEL A. CRISTE (CEO) |
| Mailing Address: | 3 Harbor Drive Suite 111 Sausalito |
| State: | CA US |
| Postal Code: | 94965 |
| Phone Number: | 4156832988 |
| Fax Number: | 4156832980 |
| NPI Enumeration Date: | 07/15/2008 |
| NPI Last Update Date: | 08/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |