Peninsula Surgical Specialist Medical Group, Inc.
NPI #1720176225 in Burlingame, California
Provider Information
- NPI Number
- 1720176225
- Entity Type
- Organization
- Organization Name
- Peninsula Surgical Specialist Medical Group, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SURGICAL ASSOCIATES OF THE PENINSULA
- Primary Specialty
- Specialist/Technologist, Other - Surgical Technologist
- Enumeration Date
- Oct 10, 2006
- Last Updated
- Mar 10, 2008
Practice Location
- Address
- 1720 EL CAMINO REAL
- Address 2
- SUITE 101
- City
- Burlingame
- State
- California
- ZIP Code
- 94010-3224
- Phone
- (650) 652-0600
Authorized Official
- Name
- DR. DIRK BAUMANN, M.D.
- Title
- CFO
- Phone
- (650) 777-4064
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Surgical Technologist — Surgical Technologist |
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