Organization
MID-PENINSULA ORTHOPEDIC MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP BERNSTEIN M.D. (PRESIDENT)
(650) 348-5400
Entity
Organization
Contact information
Practice address
50 S SAN MATEO DR STE 470, SAN MATEO, CA 94401-3833
(650) 348-5400
(650) 348-4172
Mailing address
50 S SAN MATEO DR STE 470, SAN MATEO, CA 94401-3833
(650) 348-5400
(650) 348-4172
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
G143360
CA
207X00000X
Orthopaedic Surgery Physician
Primary
G84190
CA
Other
Enumeration date
01/22/2007
Last updated
09/23/2008
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