Peninsula Ultrasound, Mammography And Radiology Services Med Group Inc in San Mateo - Specialist
Peninsula Ultrasound, Mammography And Radiology Services Med Group Inc - NPI 1619066511
Peninsula Ultrasound, Mammography And Radiology Services Med Group Inc is a Specialist in San Mateo, California. Peninsula Ultrasound, Mammography And Radiology Services Med Group Inc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Peninsula Ultrasound, Mammography And Radiology Services Med Group Inc is 1619066511. The last update date is 2015-06-25.
Peninsula Ultrasound, Mammography And Radiology Services Med Group Inc's current location address is 101 S San Mateo Dr, San Mateo, California. You can contact this provider via phone number 6503431655 and fax number 6503431686. The mailing address for Peninsula Ultrasound, Mammography And Radiology Services Med Group Inc is 101 S San Mateo Dr, San Mateo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Peninsula Ultrasound, Mammography And Radiology Services Med Group Inc |
|---|---|
| Address | 101 S San Mateo Dr, San Mateo, California |
| Phone Number | 6503431655 |
| Fax Number | 6503431686 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Kleiner Beth |
| Credentials | M.D |
| Telephone Number | 6503431655 |
NPI Number Detail
| NPI Number | 1619066511 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2015-06-25 |
Provider Mailing Address Detail
| Address | 101 S San Mateo Dr |
|---|---|
| City | San Mateo |
| State | California (CA) |
| Post Code | 944013819 |
| Phone Number | 6503431655 |
| Fax Number | 6503431686 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | G46504 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1932326188 | CA | NLAI NPI | |
| 1801835079 | SM NPI | ||
| 1396878435 | BK NPI | ||
| 1841297272 | MPASTO NPI |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Peninsula Ultrasound, Mammography And Radiology Services Med Group Inc by the Centers for Medicare & Medicaid Services?
The Peninsula Ultrasound, Mammography And Radiology Services Med Group Inc has been issued the NPI (National Provider Identifier) 1619066511, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Peninsula Ultrasound, Mammography And Radiology Services Med Group Inc's facilities are situated?
The facilities of Peninsula Ultrasound, Mammography And Radiology Services Med Group Inc are physically located at the following address: 101 S San Mateo Dr, San Mateo, CA, 944013819.
What is the area of specialization for Peninsula Ultrasound, Mammography And Radiology Services Med Group Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Peninsula Ultrasound, Mammography And Radiology Services Med Group Inc is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the Peninsula Ultrasound, Mammography And Radiology Services Med Group Inc receive its 1619066511 assignment from the Centers for Medicare & Medicaid Services?
The Peninsula Ultrasound, Mammography And Radiology Services Med Group Inc was assigned its 1619066511 by the Centers for Medicare & Medicaid Services on 2006-10-11.
When was the information related to Peninsula Ultrasound, Mammography And Radiology Services Med Group Inc most recently updated or refreshed?
The details pertaining to the Peninsula Ultrasound, Mammography And Radiology Services Med Group Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-06-25.
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