Organization
PENINSULA AMBULATORY MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW VARGAS MD (PRESIDENT)
(404) 502-5594
Entity
Organization
Contact information
Practice address
100 S ELLSWORTH AVE STE 504, SAN MATEO, CA 94401-3929
(650) 507-3348
Mailing address
548 MARKET ST # 238189, SAN FRANCISCO, CA 94104-5401
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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