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Organization
PENINSULA BIOMEDICAL, INC.
Active
Organization
PENINSULA BIOMEDICAL, INC.
Active
Other names
Peninsula Medical, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNDEE HAFNER (GENERAL MANAGER)
(831) 430-9066
Entity
Organization
Contact information
Practice address
108 WHISPERING PINES DR, SUITE 115, SCOTTS VALLEY, CA 95066-4792
(831) 430-9066
(831) 430-9068
Mailing address
PO BOX 66149, SCOTTS VALLEY, CA 95067-6149
(831) 430-9066
(831) 430-9068
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BC3200X
Customized Equipment (DME)
2676
CA
Other
Enumeration date
01/16/2007
Last updated
07/19/2017
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