Peninsula Pathologists Medical Group Inc.

LBN: Peninsula Pathologists Medical Group Inc.
Peninsula Pathologists Medical Group Inc. is an health care organization with primary practice located at 1783 El Camino Real Pathology Dept, Burlingame CA 94010-3205. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is the primary health care specialty. Peninsula Pathologists Medical Group Inc. can be contacted via phone (650) 696-5611, or through Alonzo, Judy A via phone (650) 616-2950.

Contact Information

Primary practice address
1783 El Camino Real Pathology Dept Burlingame CA 94010-3205
Phone: (650) 696-5611
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Alonzo, Judy A Doctor of Medicine (MD)
Phone: (650) 616-2950

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X CLF331997 California
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X CLF331997 California
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X CLF331997 California
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X

Profile Details

NPI number 1285699793
LBN Legal business name Peninsula Pathologists Medical Group Inc.
DBA Doing business as
Authorized official Alonzo, Judy A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2006
Last updated Oct 16th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285699793 NPPES
California MEDICAID GR0030573
California MEDICAID GR0030572
California MEDICAID GR0030575
California MEDICAID LAB27269F
California MEDICAID GR0030570

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