# MID-PENINSULA ORTHOPEDIC MEDICAL GROUP, INC

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

## Provider details

- **NPI number:** 1700939642
- **Authorized official:** DR. PHILIP BERNSTEIN M.D. (PRESIDENT)
- **Authorized official phone:** (650) 348-5400

## Contact information

- **Practice address:** 50 S SAN MATEO DR STE 470, SAN MATEO, CA 94401-3833
- **Practice address phone:** (650) 348-5400
- **Practice address fax:** (650) 348-4172
- **Mailing address:** 50 S SAN MATEO DR STE 470, SAN MATEO, CA 94401-3833
- **Mailing address phone:** (650) 348-5400
- **Mailing address fax:** (650) 348-4172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G143360 | CA | — |
| 207X00000X | Orthopaedic Surgery Physician | G84190 | CA | Yes |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 09/23/2008