Peninsula Pediatric Med Grp Inc

LBN: Peninsula Pediatric Med Grp Inc
Peninsula Pediatric Med Grp Inc is an health care organization with primary practice located at 50 S San Mateo Dr Suite #180, San Mateo CA 94401-3857. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Peninsula Pediatric Med Grp Inc can be contacted via phone (650) 342-4141, or through Kasuga, Albert R via phone (650) 259-5050.

Contact Information

Primary practice address
50 S San Mateo Dr Suite #180 San Mateo CA 94401-3857
Phone: (650) 342-4141
Fax: (650) 342-2070
Website:
Map and Directions
Authorized official contact:
Name: Kasuga, Albert R Doctor of Medicine (MD)
Phone: (650) 259-5050

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X California

Profile Details

NPI number 1790990307
LBN Legal business name Peninsula Pediatric Med Grp Inc
DBA Doing business as
Authorized official Kasuga, Albert R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2007
Last updated Jun 8th, 2011 - about 13 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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