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Organization
MID-PENINSULA ORTHOPEDIC MEDICAL GROUP, INC.
Active
Organization
MID-PENINSULA ORTHOPEDIC MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP BERNSTEIN M.D. (PRESIDENT)
(650) 348-5400
Entity
Organization
Contact information
Practice address
50 S SAN MATEO DR STE 470, SAN MATEO, CA 94401-3833
(650) 348-5400
Mailing address
50 S SAN MATEO DR STE 470, SAN MATEO, CA 94401-3833
(650) 348-5400
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ70163Z
PROVIDER #
CA
Enumeration date
01/10/2007
Last updated
08/22/2020
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