# PENINSULA ORTHOPEDIC ASSOCIATES, INC.

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

## Provider details

- **NPI number:** 1154464329
- **Authorized official:** DR. STEPHEN CONRAD M.D. (PRESIDENT)
- **Authorized official phone:** (650) 756-5630

## Contact information

- **Practice address:** 1850 SULLIVAN AVE STE 330, DALY CITY, CA 94015-2204
- **Practice address phone:** (650) 756-5630
- **Practice address fax:** (650) 994-1155
- **Mailing address:** 1850 SULLIVAN AVE STE 330, DALY CITY, CA 94015-2204
- **Mailing address phone:** (650) 756-5630
- **Mailing address fax:** (650) 994-1155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0208450001 | CA | — |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 11/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0053110 | — | CA |