| Northern Peninsula Infectious Diseases Medical Group | |
|
1501 Trousdale Dr Department Of Infection Control Burlingame CA 94010-4506 | |
| (650) 678-5079 | |
| (650) 696-7809 |
| Full Name | Northern Peninsula Infectious Diseases Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1501 Trousdale Dr, Burlingame, California |
| Authorized Official Name and Position | Kim S Erlich (OWNER) |
| Authorized Official Contact | 6506785079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Peninsula Infectious Diseases Medical Group 1501 Trousdale Dr Department Of Infection Control Burlingame CA 94010-4506 Ph: (650) 678-5079 | Northern Peninsula Infectious Diseases Medical Group 1501 Trousdale Dr Department Of Infection Control Burlingame CA 94010-4506 Ph: (650) 678-5079 |
| NPI Number | 1619073780 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 05/10/2017 |
| Medicare PECOS PAC ID | 8921048059 |
|---|---|
| Medicare Enrollment ID | O20050509000705 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619073780 | NPI | - | NPPES |
| GR0030800 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Kim S Erlich |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1447280813 PECOS PAC ID: 5597826388 Enrollment ID: I20081211000779 |
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