Organization
SAN FRANCISCO PENINSULA CARDIOVASCULAR MEDICAL GRP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLMAN RYAN MD (PRESIDENT)
(650) 991-1085
Entity
Organization
Contact information
Practice address
1500 SOUTHGATE AVE, SUITE 202, DALY CITY, CA 94015
(650) 991-3200
(650) 991-1153
Mailing address
1500 SOUTHGATE AVE, SUITE 202, DALY CITY, CA 94015
(650) 991-1085
(650) 758-4834
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A26490
CA
207RC0000X
Cardiovascular Disease Physician
C32329
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ75309Z
—
CA
Enumeration date
11/15/2006
Last updated
08/22/2020
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