Organization
DINA SVERDLOV MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DINA SVERDLOV M.D. (PRESIDENT)
(650) 343-8512
Entity
Organization
Contact information
Practice address
100 S ELLSWORTH AVE STE 208, SAN MATEO, CA 94401-3932
(650) 343-8512
(650) 343-8412
Mailing address
1 BAYWOOD AVE STE 4, SAN MATEO, CA 94402-1537
(650) 343-8512
(650) 343-8412
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A70283
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A702830
—
CA
05
—
00A702831
—
CA
01
—
05D0971734
CLIA SAN FRANCISCO
CA
01
—
05D0974111
CLIA SAN MATEO
CA
Enumeration date
12/13/2006
Last updated
10/09/2018
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