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PENINSULA ULTRASOUND MAMMOGRAPHY & RADIOLOGY SERVICES MEDICAL GROUP NPI 1871569525


NPI Information

NPI: 1871569525
Provider Name: PENINSULA ULTRASOUND, MAMMOGRAPHY & RADIOLOGY SERVICES MEDICAL GROUP
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
101 S SAN MATEO DR
SUITE 201
SAN MATEO, CA
ZIP 94401
Phone: (650) 343-1655
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PENINSULA ULTRASOUND, MAMMOGRAPHY & RADIOLOGY SERVICES MEDICAL GROUP is a radiology clinic center in San Mateo, CA. PENINSULA ULTRASOUND, MAMMOGRAPHY & RADIOLOGY SERVICES MEDICAL GROUP NPI is 1871569525. The provider is registered as an organization entity type.

The provider's business location address is:

101 S SAN MATEO DR
SUITE 201
SAN MATEO, CA
ZIP 94401-819
Phone: (650) 343-1655

The provider's authorized official is Beth Kleiner .
The authorized official title is Ceo and has the following contact phone number (655) 343-1655.

The enumeration date for this NPI number is 2/23/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0200XClinic/CenterRadiologyG46504CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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