Peninsula Private Neurology INC
NPI #1770906075 in Menlo Park, California
Provider Information
- NPI Number
- 1770906075
- Entity Type
- Organization
- Organization Name
- Peninsula Private Neurology INC
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Enumeration Date
- Jan 23, 2014
- Last Updated
- Jan 23, 2014
Practice Location
- Address
- 321 MIDDLEFIELD RD STE 275
- City
- Menlo Park
- State
- California
- ZIP Code
- 94025-4010
- Phone
- (650) 260-4495
Authorized Official
- Name
- DIANA BLUM, MD
- Title
- OWNER AND PRESIDENT
- Phone
- (650) 260-4495
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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