Organization
PENINSULA ULTRASOUND, MAMMOGRAPHY & RADIOLOGY SERVICES MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETH KLEINER M.D. (CEO)
(655) 343-1655
Entity
Organization
Contact information
Practice address
101 S SAN MATEO DR, SUITE 201, SAN MATEO, CA 94401-3819
(650) 343-1655
Mailing address
101 S SAN MATEO DR, SUITE 201, SAN MATEO, CA 94401-3819
(650) 343-1655
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
G46504
CA
Other
Enumeration date
02/23/2006
Last updated
08/22/2020
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