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Contact Information

PENINSULA SPECIALTY CARE
562 RALSTON AVE
BELMONT, CA94002
 Phone: 650-654-1854
 Fax: 650-596-8248
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for PENINSULA SPECIALTY CARE

NPI Number 1063575157
LBN Legal business name PENINSULA SPECIALTY CARE
Authorized official RAHMAT BARKHORDAR - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 12/19/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
CA License # 33440
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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