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Organization

PENINSULA GASTROENTEROLOGY MEDICAL GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES TOROSIS M.D. (PHYSICIAN)
(650) 365-3700
Entity
Organization

Contact information

Practice address
2900 WHIPPLE AVE STE 245, REDWOOD CITY, CA 94062-2851
(650) 365-3700
(650) 368-3836
Mailing address
2900 WHIPPLE AVE STE 245, REDWOOD CITY, CA 94062-2851
(650) 365-3700
(650) 368-3836

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0025350
CA
01
ZZZ12647Z
BLUE SHIELD
CA
Enumeration date
11/16/2006
Last updated
03/02/2010
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