Organization
PENINSULA SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVIN HUNT (ADMINISTRATOR)
(510) 406-9731
Entity
Organization
Contact information
Practice address
350 MARINE PKWY STE 100, REDWOOD CITY, CA 94065-5224
(510) 406-9731
Mailing address
2299 MOWRY AVE, FREMONT, CA 94538-1621
(510) 406-9731
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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