PENINSULA HEAD & NECK SURGERYINC NPI 1134342215

NPI Information

  • NPI: 1134342215
  • Provider Name: PENINSULA HEAD & NECK SURGERY,INC
  • Classification: Otolaryngology - 207YX0007X
  • Specialization: Plastic Surgery within the Head & Neck
  • Entity Type: Organization
  • Address: 900 WELCH RD
    SUITE 103
    PALO ALTO, CA
    ZIP 94304
  • Phone: (650) 329-9100

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NPI Details

PENINSULA HEAD & NECK SURGERY,INC is a plastic surgery within the head and neck otolaryngology in Palo Alto, CA. The provider is an otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. PENINSULA HEAD & NECK SURGERY,INC NPI is 1134342215. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

900 WELCH RD
SUITE 103
PALO ALTO, CA
ZIP 94304-805
Phone: (650) 329-9100
Fax: (650) 329-0626

The provider's authorized official is Leon W Lipson .
The authorized official title is President and has the following contact phone number (650) 329-9100.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 3/3/2011.

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
1207YX0007XOtolaryngologyPlastic Surgery within the Head & NeckG124240CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1EC455AMEDICARE PINCALIFORNIA

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: 3/30/2025

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