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
Address 725 Main Street, Half Moon Bay, California
Phone Number 6507261200
Fax Number 6507261235
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DOCTOR
Authorized Official Name Penrose B Deborah
Credentials DO
Telephone Number 6507261200

NPI Number Detail

NPI Number 1326128158
Provider Enumeration Date 2006-10-16
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 725 Main Street
City Half Moon Bay
State California (CA)
Post Code 94019
Phone Number 6507261200
Fax Number 6507261235

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
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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FAQs about Mainstreet Medical Practice

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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