Organization
NORTH PENINSULA PODIATRY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA J. MENESES MA (OFC. COORDINATOR)
(650) 588-9189
Entity
Organization
Contact information
Practice address
560 JENEVEIN AVENUE, SAN BRUNO, CA 94066
(650) 588-9189
(650) 588-2814
Mailing address
560 JENEVEIN AVENUE, SAN BRUNO, CA 94066
(650) 588-9189
(650) 588-2814
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E3983
CA
Other
Enumeration date
12/08/2006
Last updated
08/22/2020
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