PENINSULA NEUROLOGICAL ASSOCIATES NPI 1043335227

NPI Information

PENINSULA NEUROLOGICAL ASSOCIATES is a neurology psychiatry neurology in Burlingame, CA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. PENINSULA NEUROLOGICAL ASSOCIATES NPI is 1043335227. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1750 EL CAMINO REAL
SUITE 106
BURLINGAME, CA
ZIP 94010
Phone: (650) 697-6632
Fax: (650) 697-9370

The provider's authorized official is Michael S Cohen .
The authorized official title is President and has the following contact phone number (650) 697-6632.

The CLIA number assigned to this NPI record is 05D2204278 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 4/20/2008.

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:

Other Identifiers

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