Mission Peak Orthopaedic Medical Group, Inc in Pleasanton - Surgical
Mission Peak Orthopaedic Medical Group, Inc - NPI 1639282551
Mission Peak Orthopaedic Medical Group, Inc is a Surgical in Pleasanton, California. Mission Peak Orthopaedic Medical Group, Inc practices all healthcare services and medical treatments related to Surgical. 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 |
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Address | 5924 Stoneridge Drive, Pleasanton, California |
Phone Number | 9258466200 |
Fax Number | 5107975184 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | ADMINISTRA |
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Authorized Official Name | Memula Lingagoud |
Telephone Number | 5108182011 |
NPI Number Detail
NPI Number | 1639282551 |
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Provider Enumeration Date | 2006-08-16 |
Last Updated Date | 2012-10-18 |
Provider Mailing Address Detail
Address | 5924 Stoneridge Drive |
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City | Pleasanton |
State | California (CA) |
Post Code | 945885400 |
Phone Number | 9258466200 |
Fax Number | 5107975184 |
Provider's Primary Taxonomy Detail
Speciality | Surgical |
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Taxonomy | 363As0400X |
Licence No | PA17256 |
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
ZZZ5427Z | CA | BLUE SHIELD |
Post Comment/ Review Below
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 Surgical, and the corresponding taxonomy code is 363As0400X.
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.