Organization
MILLS PENINSULA HEALTH SERVICES
Active
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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