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Peninsula Ultrasound, Mammography And Radiology Services Med Group Inc
Specialist in San Mateo, California
NPI 1619066511

Peninsula Ultrasound, Mammography And Radiology Services Med Group Inc is a Specialist based in San Mateo, CA. Peninsula Ultrasound, Mammography And Radiology Services Med Group Inc practices in San Mateo, CA. The NPI Number for Peninsula Ultrasound, Mammography And Radiology Services Med Group Inc is 1619066511 and holds a License No. G46504 (California).

The current practice location address for Peninsula Ultrasound, Mammography And Radiology Services Med Group Inc is 101 S San Mateo Dr, San Mateo, CA and can be reached out via phone at 650-343-1655 and via fax at 650-343-1686.

Location: 101 S San Mateo Dr, San Mateo, CA, 94401-3819
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619066511
Provider Name
Peninsula Ultrasound, Mammography And Radiology Services Med Group Inc
Credential
Provider Entity Type
Organization
Address
101 S San Mateo Dr, San Mateo, CA, 94401-3819
Phone Number
650-343-1655
Fax Number
650-343-1686
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1932326188 01 CA NLAI NPI
1801835079 01 SM NPI
1396878435 01 BK NPI
1841297272 01 MPASTO NPI
institution
Provider Business Practice Location Address Details
Address
101 S San Mateo Dr
City
San Mateo
State
California
Zip
94401-3819
Phone Number
650-343-1655
Fax Number
650-343-1686
person
Provider Business Mailing Address Details
Address
101 S San Mateo Dr
City
San Mateo
State
California
Zip
94401-3819
Phone Number
650-343-1655
Fax Number
650-343-1686
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G46504 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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