# NORTH PENINSULA PODIATRY GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104985886
- **Authorized official:** SANDRA J. MENESES MA (OFC. COORDINATOR)
- **Authorized official phone:** (650) 588-9189

## Contact information

- **Practice address:** 560 JENEVEIN AVENUE, SAN BRUNO, CA 94066
- **Practice address phone:** (650) 588-9189
- **Practice address fax:** (650) 588-2814
- **Mailing address:** 560 JENEVEIN AVENUE, SAN BRUNO, CA 94066
- **Mailing address phone:** (650) 588-9189
- **Mailing address fax:** (650) 588-2814

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E3983 | CA | Yes |

## Other

- **Enumeration date:** 12/08/2006
- **Last updated:** 08/22/2020