# PENINSULA SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1740891571
- **Authorized official:** TREVIN HUNT (ADMINISTRATOR)
- **Authorized official phone:** (510) 406-9731

## Contact information

- **Practice address:** 350 MARINE PKWY STE 100, REDWOOD CITY, CA 94065-5224
- **Practice address phone:** (510) 406-9731
- **Mailing address:** 2299 MOWRY AVE, FREMONT, CA 94538-1621
- **Mailing address phone:** (510) 406-9731

## Taxonomy

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

## Other

- **Enumeration date:** 08/14/2020
- **Last updated:** 08/14/2020