Mainstreet Medical Practice in Half Moon Bay - Internal Medicine
Mainstreet Medical Practice - NPI 1326128158
Mainstreet Medical Practice is a Internal Medicine in Half Moon Bay, California. Mainstreet Medical Practice practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mainstreet Medical Practice is 1326128158. The last update date is 2020-08-22.
Mainstreet Medical Practice's current location address is 725 Main Street, Half Moon Bay, California. You can contact this provider via phone number 6507261200 and fax number 6507261235. The mailing address for Mainstreet Medical Practice is 725 Main Street, Half Moon Bay, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Mainstreet Medical Practice |
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Address | 725 Main Street, Half Moon Bay, California |
Phone Number | 6507261200 |
Fax Number | 6507261235 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DOCTOR |
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Authorized Official Name | Penrose B Deborah |
Credentials | DO |
Telephone Number | 6507261200 |
NPI Number Detail
NPI Number | 1326128158 |
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Provider Enumeration Date | 2006-10-16 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 725 Main Street |
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City | Half Moon Bay |
State | California (CA) |
Post Code | 94019 |
Phone Number | 6507261200 |
Fax Number | 6507261235 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Licence No | G31635 |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique 10-digit identifier code assigned to Mainstreet Medical Practice by the Centers for Medicare & Medicaid Services?
The Mainstreet Medical Practice has been issued the NPI (National Provider Identifier) 1326128158 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mainstreet Medical Practice's facilities are situated?
The facilities of Mainstreet Medical Practice are physically located at the following address: 725 Main Street, Half Moon Bay, CA, 94019.
What is Mainstreet Medical Practice's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mainstreet Medical Practice is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.
On what date did the Mainstreet Medical Practice receive its 1326128158 assignment from the Centers for Medicare & Medicaid Services?
The Mainstreet Medical Practice was assigned its 1326128158 by the Centers for Medicare & Medicaid Services on 2006-10-16.
As of what date was the information pertaining to Mainstreet Medical Practice, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mainstreet Medical Practice, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
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