South Drive Medical Clinic
NPI #1043248560 in Mountain View, California
Provider Information
- NPI Number
- 1043248560
- Entity Type
- Organization
- Organization Name
- South Drive Medical Clinic
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Jun 30, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 515 S DRIVE
- Address 2
- #15
- City
- Mountain View
- State
- California
- ZIP Code
- 94040-4209
- Phone
- (650) 961-9430
Authorized Official
- Name
- MR. KENNETH S PETERS, MD
- Title
- PRESIDENT
- Phone
- (650) 961-9430
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Psychologist - Clinical — Clinical |
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