# PENINSULA EYE PHYSICIANS MEDICAL GROUP,INC.

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

## Provider details

- **NPI number:** 1346255064
- **Authorized official:** MICHAEL J DRINNAN MD (PRESIDENT)
- **Authorized official phone:** (650) 342-7474

## Contact information

- **Practice address:** 101 S SAN MATEO DR, STE 310, SAN MATEO, CA 94401-3844
- **Practice address phone:** (650) 342-7474
- **Practice address fax:** (650) 342-9260
- **Mailing address:** 101 S SAN MATEO DR, STE 310, SAN MATEO, CA 94401-3844
- **Mailing address phone:** (650) 342-7474
- **Mailing address fax:** (650) 342-9260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 02/06/2013