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B. DOUGLAS LEWIS M.D. A PROFESSIONAL CORPORATION NPI 1013168491


NPI Information

NPI: 1013168491
Provider Name: B. DOUGLAS LEWIS, M.D., A PROFESSIONAL CORPORATION

Doing Business As: PENINSULA VASCULAR CENTER

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
3351 EL CAMINO REAL STE 205
ATHERTON, CA
ZIP 94027
Phone: (650) 364-3600
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B. DOUGLAS LEWIS, M.D., A PROFESSIONAL CORPORATION is a medical specialty clinic center in Atherton, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). B. DOUGLAS LEWIS, M.D., A PROFESSIONAL CORPORATION NPI is 1013168491. The provider is registered as an organization entity type.
The provider Is Doing Business As Peninsula Vascular Center.

The provider's business location address is:

3351 EL CAMINO REAL STE 205
ATHERTON, CA
ZIP 94027-864
Phone: (650) 364-3600
Fax: (650) 364-3609

The provider's authorized official is Brian Douglas Lewis .
The authorized official title is President and has the following contact phone number (650) 364-3600.

The enumeration date for this NPI number is 10/3/2008 and was last updated on 10/3/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0200XClinic/CenterRadiologyG48356CALIFORNIANo
2261QM2500XClinic/CenterMedical SpecialtyG48356CALIFORNIAYes

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: 4/28/2024

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