Organization
PENINSULA FOOT & ANKLE CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALIREZA GHAMGOSAR DPM (PRESIDENT/PHYSICIAN)
(415) 205-1127
Entity
Organization
Contact information
Practice address
120 SAINT MATTHEWS AVE, SAN MATEO, CA 94401-3087
(650) 242-1689
(650) 477-2169
Mailing address
25 SEVILLE WAY, SAN MATEO, CA 94402-2830
(415) 205-1127
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
CA
Other
Enumeration date
11/06/2014
Last updated
08/19/2024
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