Provider Demographics
NPI:1629885728
Name:MARIN MEDICAL CONCIERGE
Entity type:Organization
Organization Name:MARIN MEDICAL CONCIERGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALANA
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-461-5552
Mailing Address - Street 1:1300 S ELISEO DR STE 203
Mailing Address - Street 2:
Mailing Address - City:GREENBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94904-2015
Mailing Address - Country:US
Mailing Address - Phone:415-461-5552
Mailing Address - Fax:415-464-8964
Practice Address - Street 1:1300 S ELISEO DR STE 203
Practice Address - Street 2:
Practice Address - City:GREENBRAE
Practice Address - State:CA
Practice Address - Zip Code:94904-2015
Practice Address - Country:US
Practice Address - Phone:415-461-5552
Practice Address - Fax:415-464-8964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-12
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty