Peninsula Medical Group

NPI #1376671206 in Burlingame, California

Provider Information

NPI Number: 1376671206
Entity Type: Organization
Organization Name: Peninsula Medical Group
Primary Specialty: Specialist
Enumeration Date: Mar 1, 2007
Last Updated: Mar 10, 2008

Practice Location

Address: 1720 EL CAMINO REAL
Address 2: STE 145
City: Burlingame
State: California
ZIP Code: 94010-3224
Phone: (650) 692-8804

Authorized Official

Name: DR. SPENCER TIMOTHY LOWE, M.D.
Title: MEDICAL DIRECTOR
Phone: (650) 692-8804

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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