South Drive Medical Clinic in Mountain View - Internal Medicine
South Drive Medical Clinic - NPI 1043248560
South Drive Medical Clinic is a Internal Medicine in Mountain View, California. South Drive Medical Clinic practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for South Drive Medical Clinic is 1043248560. The last update date is 2020-08-22.
South Drive Medical Clinic's current location address is 515 S Drive, Mountain View, California. You can contact this provider via phone number 6509619430. The mailing address for South Drive Medical Clinic is 515 S Drive, Mountain View, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Drive Medical Clinic |
|---|---|
| Address | 515 S Drive, Mountain View, California |
| Phone Number | 6509619430 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Peters S Kenneth |
| Credentials | MD |
| Telephone Number | 6509619430 |
NPI Number Detail
| NPI Number | 1043248560 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 515 S Drive |
|---|---|
| City | Mountain View |
| State | California (CA) |
| Post Code | 940404209 |
| Phone Number | 6509619430 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | G33788 |
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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 provider identifier assigned to South Drive Medical Clinic?
The South Drive Medical Clinic has been issued the NPI (National Provider Identifier) 1043248560 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where South Drive Medical Clinic's facilities are geographically located?
The facilities of South Drive Medical Clinic are physically situated at the following location: 515 S Drive, Mountain View, CA, 940404209.
What is South Drive Medical Clinic's specialized field of practice, and what is the corresponding taxonomy classification code?
The South Drive Medical Clinic's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1043248560 to South Drive Medical Clinic?
The Centers for Medicare & Medicaid Services assigned the 1043248560 to South Drive Medical Clinic on 2006-06-30.
As of what date were the South Drive Medical Clinic's details last updated?
The information pertaining to the South Drive Medical Clinic, including its address, specialty, and other details, was most recently updated on 2020-08-22.