Organization
COUNTY OF SAN MATEO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PAPA (CHIEF FINANCIAL OFFICER)
(650) 573-2613
Entity
Organization
Contact information
Practice address
1280 COMMODORE DR, SAN BRUNO, CA 94066-2304
(650) 312-8929
Mailing address
65 TOWER RD, SAN MATEO, CA 94402-4000
(650) 312-8929
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CCS00104F
—
CA
Enumeration date
12/12/2006
Last updated
10/15/2025
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