# PENINSULA HEAD & NECK SURGERY,INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1134342215
- **Authorized official:** DR. LEON W LIPSON MD (PRESIDENT)
- **Authorized official phone:** (650) 329-9100

## Contact information

- **Practice address:** 900 WELCH RD, SUITE 103, PALO ALTO, CA 94304-1805
- **Practice address phone:** (650) 329-9100
- **Practice address fax:** (650) 329-0626
- **Mailing address:** 900 WELCH RD, SUITE 103, PALO ALTO, CA 94304-1805
- **Mailing address phone:** (650) 329-9100
- **Mailing address fax:** (650) 329-0626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | G124240 | CA | Yes |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 03/03/2011