Organization
PENINSULA OBGYN INTEGRATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL YOUNG MD (PRESIDENT)
(650) 281-8716
Entity
Organization
Contact information
Practice address
101 S SAN MATEO DR STE 111, SAN MATEO, CA 94401-3840
(650) 542-0092
(650) 389-6960
Mailing address
205 DE ANZA BLVD # 72, SAN MATEO, CA 94402-3989
(650) 281-8716
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
08/19/2019
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