Organization
SAN MATEO MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRIS ROZZI (REIMBUREMENT)
(650) 573-2120
Entity
Organization
Contact information
Practice address
2710 MIDDLEFIELD RD, REDWOOD CITY, CA 94063-3404
(650) 573-2222
Mailing address
222 W 39TH AVE, SAN MATEO, CA 94403-4364
(650) 573-2222
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G98080-01
DELTA DENTAL
CA
Enumeration date
11/22/2006
Last updated
08/22/2020
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