Organization
SAN MATEO ENDOSCOPY CENTER
Active
Other names
Mid Peninsula Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL MAINARDI M.D. (MEDICAL DIRECTOR)
(650) 340-9977
Entity
Organization
Contact information
Practice address
50 S SAN MATEO DR, # 400, SAN MATEO, CA 94401-3857
(650) 579-7082
(650) 579-7743
Mailing address
50 S. SAN MATEO DR., # 400, SAN MATEO, CA 94401-3861
(650) 579-7082
(650) 579-7743
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051370
BLUE CROSS ID
CA
01
—
4422407
CIGNA ID
CA
05
—
SUR01370F
—
CA
Enumeration date
03/23/2006
Last updated
08/22/2020
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