# GURPREET K PADAM MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** California Lifestyle Medicine, Home Based Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104674407
- **Authorized official:** DR. GURPREET K PADAM MD (CEO)
- **Authorized official phone:** (650) 360-9309

## Contact information

- **Practice address:** 101 S SAN MATEO DR STE 106, SAN MATEO, CA 94401-3840
- **Practice address phone:** (650) 360-9309
- **Mailing address:** 101 S SAN MATEO DR STE 106, SAN MATEO, CA 94401-3840
- **Mailing address phone:** (650) 360-9309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/10/2024
- **Last updated:** 03/21/2025