Mission Peak Orthopaedic Medical Group, Inc in Pleasanton - Orthopaedic Surgery

Mission Peak Orthopaedic Medical Group, Inc - NPI 1639282551

Mission Peak Orthopaedic Medical Group, Inc is a Orthopaedic Surgery in Pleasanton, California. Mission Peak Orthopaedic Medical Group, Inc practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Mission Peak Orthopaedic Medical Group, Inc is 1639282551. The last update date is 2012-10-18.

Mission Peak Orthopaedic Medical Group, Inc's current location address is 5924 Stoneridge Drive, Pleasanton, California. You can contact this provider via phone number 9258466200 and fax number 5107975184. The mailing address for Mission Peak Orthopaedic Medical Group, Inc is 5924 Stoneridge Drive, Pleasanton, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mission Peak Orthopaedic Medical Group, Inc
Address 5924 Stoneridge Drive, Pleasanton, California
Phone Number 9258466200
Fax Number 5107975184
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Memula Lingagoud
Telephone Number 5108182011

NPI Number Detail

NPI Number 1639282551
Provider Enumeration Date 2006-08-16
Last Updated Date 2012-10-18

Provider Mailing Address Detail

Address 5924 Stoneridge Drive
City Pleasanton
State California (CA)
Post Code 945885400
Phone Number 9258466200
Fax Number 5107975184

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery
Taxonomy 207X00000X
Licence No A657720
Definition:
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ZZZ5427Z CA BLUE SHIELD

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FAQs about Mission Peak Orthopaedic Medical Group, Inc

What is the Mission Peak Orthopaedic Medical Group, Inc's unique identification number?

The Mission Peak Orthopaedic Medical Group, Inc has been assigned the NPI (National Provider Identifier) Number 1639282551 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Mission Peak Orthopaedic Medical Group, Inc's facilities are geographically located?

The facilities of Mission Peak Orthopaedic Medical Group, Inc are physically situated at the following location: 5924 Stoneridge Drive, Pleasanton, CA, 945885400.

What is the Mission Peak Orthopaedic Medical Group, Inc's specialty and taxonomy code?

The Mission Peak Orthopaedic Medical Group, Inc's specialty is Orthopaedic Surgery, and the corresponding taxonomy code is 207X00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1639282551 to Mission Peak Orthopaedic Medical Group, Inc?

The Centers for Medicare & Medicaid Services originally issued the 1639282551 to Mission Peak Orthopaedic Medical Group, Inc on 2006-08-16.

As of what date were the details related to Mission Peak Orthopaedic Medical Group, Inc most recently updated or revised?

The information pertaining to Mission Peak Orthopaedic Medical Group, Inc, including its address, specialty, and other relevant details, was last updated or revised on 2012-10-18.

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