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Organization
PENINSULA PEDIATRIC MED GRP INC
Active
Organization
PENINSULA PEDIATRIC MED GRP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT R KASUGA MD (PRESIDENT)
(650) 259-5050
Entity
Organization
Contact information
Practice address
50 S SAN MATEO DR, SUITE #180, SAN MATEO, CA 94401-3857
(650) 342-4141
(650) 342-2070
Mailing address
1720 EL CAMINO REAL, SUITE #230, BURLINGAME, CA 94010-3224
(650) 259-1545
(650) 259-2809
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
CA
Other
Enumeration date
05/14/2007
Last updated
06/08/2011
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