Organization
BURLINGAME-PACIFICA MEDICAL GROUP , INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ANN ERHARD (OFFICE MANAGER)
(650) 697-4195
Entity
Organization
Contact information
Practice address
1860 EL CAMINO REAL STE 439, BURLINGAME, CA 94010-3117
(650) 697-4195
(650) 697-4233
Mailing address
1860 EL CAMINO REAL STE 439, BURLINGAME, CA 94010-3117
(650) 697-4195
(650) 697-4233
Taxonomy
Speciality
Code
Description
License number
State
173F00000X
Sleep Specialist (PhD)
A111219
CA
207Q00000X
Family Medicine Physician
A111219
CA
207R00000X
Internal Medicine Physician
Primary
A100772
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0002122
—
CA
Enumeration date
09/15/2006
Last updated
02/14/2024
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