Organization
PENINSULA ORTHOPEDIC ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN CONRAD M.D. (PRESIDENT)
(650) 756-5630
Entity
Organization
Contact information
Practice address
1850 SULLIVAN AVE STE 330, DALY CITY, CA 94015-2204
(650) 756-5630
(650) 994-1155
Mailing address
1850 SULLIVAN AVE STE 330, DALY CITY, CA 94015-2204
(650) 756-5630
(650) 994-1155
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
0208450001
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0053110
—
CA
Enumeration date
02/15/2007
Last updated
11/18/2008
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