Mills Peninsula Medical Group in San Mateo - General Practice
Mills Peninsula Medical Group - NPI 1588879134
Mills Peninsula Medical Group is a General Practice in San Mateo, California. Mills Peninsula Medical Group practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mills Peninsula Medical Group is 1588879134. The last update date is 2008-01-31.
Mills Peninsula Medical Group's current location address is 50 S San Mateo Dr, San Mateo, California. You can contact this provider via phone number 6506969770 and fax number 6503751363. The mailing address for Mills Peninsula Medical Group is 50 S San Mateo Dr, San Mateo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mills Peninsula Medical Group |
|---|---|
| Address | 50 S San Mateo Dr, San Mateo, California |
| Phone Number | 6506969770 |
| Fax Number | 6503751363 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINIC DIR |
|---|---|
| Authorized Official Name | Brady Trudy |
| Credentials | LVN |
| Telephone Number | 6502408011 |
NPI Number Detail
| NPI Number | 1588879134 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2008-01-31 |
Provider Mailing Address Detail
| Address | 50 S San Mateo Dr |
|---|---|
| City | San Mateo |
| State | California (CA) |
| Post Code | 944013857 |
| Phone Number | 6506969770 |
| Fax Number | 6503751363 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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What is the unique 10-digit identifier code issued to Mills Peninsula Medical Group by the Centers for Medicare & Medicaid Services?
The Mills Peninsula Medical Group has been assigned the NPI (National Provider Identifier) 1588879134 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Mills Peninsula Medical Group is geographically located?
The Mills Peninsula Medical Group is physically situated at the following location: 50 S San Mateo Dr, San Mateo, CA, 944013857.
What is Mills Peninsula Medical Group's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mills Peninsula Medical Group's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 208D00000X.
On what date did the Mills Peninsula Medical Group receive its 1588879134 assignment from the Centers for Medicare & Medicaid Services?
The Mills Peninsula Medical Group was assigned its 1588879134 by the Centers for Medicare & Medicaid Services on 2007-05-14.
When was the information regarding Mills Peninsula Medical Group, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mills Peninsula Medical Group, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-01-31.
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