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Organization
MID PENINSULA EYE PHYSICIANS & SURGEONS MEDICAL GROUP
Active
Organization
MID PENINSULA EYE PHYSICIANS & SURGEONS MEDICAL GROUP
Active
Other names
PACIFIC EYE SPECIALISTS
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE KASUMOV (DIRECTOR OF OPERATIONS)
(650) 342-4595
Entity
Organization
Contact information
Practice address
50 S SAN MATEO DR, SUITE 200, SAN MATEO, CA 94401-3857
(650) 342-4595
(650) 342-3932
Mailing address
50 S SAN MATEO DR, SUITE 200, SAN MATEO, CA 94401-3857
(650) 342-4595
(650) 342-3932
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
TAX ID#
CA
Other
Enumeration date
12/01/2006
Last updated
07/21/2022
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