# SAN MATEO ENDOSCOPY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mid Peninsula Endoscopy Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689634891
- **Authorized official:** DR. MICHAEL MAINARDI M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (650) 340-9977

## Contact information

- **Practice address:** 50 S SAN MATEO DR, \# 400, SAN MATEO, CA 94401-3857
- **Practice address phone:** (650) 579-7082
- **Practice address fax:** (650) 579-7743
- **Mailing address:** 50 S. SAN MATEO DR., \# 400, SAN MATEO, CA 94401-3861
- **Mailing address phone:** (650) 579-7082
- **Mailing address fax:** (650) 579-7743

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | CA | Yes |

## Other

- **Enumeration date:** 03/23/2006
- **Last updated:** 08/22/2020