Peninsula Surgical Specialist Medical Group, Inc.

NPI 1720176225

Information of Peninsula Surgical Specialist Medical Group, Inc.

The NPI 1720176225 is an Organization type. NPI No 1720176225 belongs to Peninsula Surgical Specialist Medical Group, Inc.. Peninsula Surgical Specialist Medical Group, Inc. specializes in Surgical Technologist. is practising at 1720 El Camino Real, Burlingame, California 94010. You can also contact him via phone number (650) 652-0600.

Practice address located

  • 1720 El Camino Real
  • Burlingame, California 94010
  • (650) 652-0600
  • (650) 652-0600

Mailling address located

  • 1720 El Camino Real
  • Burlingame, California 94010
  • (650) 652-0600
  • Not available
Peninsula Surgical Specialist Medical Group, Inc. is PECOS enrolled.
NPI No 1720176225
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes246ZS0410XSurgical Technologistn/an/a
Identifier for this provider
StateIdentifierTypeIssuer
CA00A916790Medicare PINn/a
CAA40184Medicare UPINn/a
CAA42871Medicare UPINn/a
CAA44584Medicare UPINn/a
CAA51356Medicare UPINn/a
CACG1015OtherRAILROAD MEDICARE
CAF56845Medicare UPINn/a
CAF82459Medicare UPINn/a
CAF88243Medicare UPINn/a
CAF94963Medicare UPINn/a
CAH20514Medicare UPINn/a
CAH68316Medicare UPINn/a
CAI07224Medicare UPINn/a
CAP00405374OtherRAILROAD MEDICARE
CAP00411831OtherRAILROAD MEDICARE
CAP00431764OtherRAILROAD MEDICARE
CAZZZ38666ZMedicare ID-Type Unspecifiedn/a
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