| Peninsula Hospital | |
|
1501 Trousdale Dr Burlingame CA 94010-4506 | |
| (650) 696-5400 | |
| (650) 652-3052 |
| Full Name | Peninsula Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1501 Trousdale Dr, Burlingame, California |
| Authorized Official Name and Position | John Gates (CFO SHBA) |
| Authorized Official Contact | 5104507357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Hospital Po Box 60000 File #73688 San Francisco CA 94160-0001 Ph: (650) 696-5400 | Peninsula Hospital 1501 Trousdale Dr Burlingame CA 94010-4506 Ph: (650) 696-5400 |
| NPI Number | 1598872004 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 04/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598872004 | NPI | - | NPPES |
| HSM30007G | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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