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Organization

MILLS PENINSULA HEALTH SERVICES

Active
Parent organization
MILLS PENINSULA HEALTH SERVICES
Other names
Burlingame Dyalisis
Organization subpart
Yes

Provider details

NPI number
Legal business name
MILLS PENINSULA HEALTH SERVICES
Authorized official
MR. ROBERT MERWIN (CEO)
(650) 696-5400
Entity
Organization

Contact information

Practice address
1720 EL CAMINO REAL, BURLINGAME, CA 94010-3224
(650) 696-5400
(650) 652-3051
Mailing address
PO BOX 60000 FILE #73688, SAN FRANCISCO, CA 94160-0001
(650) 696-5400
(650) 652-3051

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
053516
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CDC03516F
CA
Enumeration date
10/10/2006
Last updated
04/03/2008
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