Peninsula Orthopedic Associates, Inc.
LBN: Peninsula Orthopedic Associates, Inc.
Peninsula Orthopedic Associates, Inc. is an health care organization with primary practice located at 1850 Sullivan Ave Ste 330 , Daly City CA 94015-2204. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty.
Peninsula Orthopedic Associates, Inc. can be contacted via phone (650) 756-5630, or through Conrad, Stephen via phone (650) 756-5630.
Contact Information
Primary practice address
1850 Sullivan Ave Ste 330
Daly City CA 94015-2204
Phone: (650) 756-5630
Fax: (650) 994-1155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 0208450001 | California |
Profile Details
| NPI number | 1154464329 |
|---|---|
| LBN Legal business name | Peninsula Orthopedic Associates, Inc. |
| DBA Doing business as | |
| Authorized official | Conrad, Stephen Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Nov 18th, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154464329 | NPPES |
| California | MEDICAID | GR0053110 |
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