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EAR NOSE AND THROAT ASSOCIATES OF SAN MATEO COUNTY INC NPI 1699792598


NPI Information

NPI: 1699792598
Provider Name: EAR, NOSE AND THROAT ASSOCIATES OF SAN MATEO COUNTY INC

Former Legal Business Name: EAR, NOSE & THROAT MEDICAL GROUP OF SAN MATEO, INC

Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
100 S. ELLSWORTH AVENUE
SUITE 308
SAN MATEO, CA
ZIP 94401
Phone: (650) 344-6896
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EAR, NOSE AND THROAT ASSOCIATES OF SAN MATEO COUNTY INC is an otolaryngology in San Mateo, CA. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. EAR, NOSE AND THROAT ASSOCIATES OF SAN MATEO COUNTY INC NPI is 1699792598. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Ear, Nose & Throat Medical Group Of San Mateo, Inc.

The provider's business location address is:

100 S. ELLSWORTH AVENUE
SUITE 308
SAN MATEO, CA
ZIP 94401-931
Phone: (650) 344-6896
Fax: (650) 344-2794

The provider's authorized official is Jennifer F. Bock Hughes .
The authorized official title is President and has the following contact phone number (650) 344-6896.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 2/11/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngologyG71603CALIFORNIAYes
2207Y00000XOtolaryngologyNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ80557ZMEDICAIDCALIFORNIA
2ZZZ80557ZOTHERCALIFORNIABLUE SHIELD

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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