Organization
PENINSULA HEAD & NECK SURGERY,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEON W LIPSON MD (PRESIDENT)
(650) 329-9100
Entity
Organization
Contact information
Practice address
900 WELCH RD, SUITE 103, PALO ALTO, CA 94304-1805
(650) 329-9100
(650) 329-0626
Mailing address
900 WELCH RD, SUITE 103, PALO ALTO, CA 94304-1805
(650) 329-9100
(650) 329-0626
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
G124240
CA
Other
Enumeration date
04/10/2007
Last updated
03/03/2011
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