Organization
MILLS PENINSULA MEDICAL GROUP
Active
Other names
Mills-Peninsula Medical Group Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
TRUDY BRADY LVN (CLINIC DIRECTOR)
(650) 240-8011
Entity
Organization
Contact information
Practice address
50 S SAN MATEO DR, SUITE 150, SAN MATEO, CA 94401-3857
(650) 696-9770
(650) 375-1363
Mailing address
50 S SAN MATEO DR, SUITE 150, SAN MATEO, CA 94401-3857
(650) 696-9770
(650) 375-1363
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/14/2007
Last updated
01/31/2008
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