| Peninsula Medica Group | |
|
827 Deep Valley Dr Suite #310 Rolling Hills Estates CA 90274-3647 | |
| (310) 544-0828 | |
| (310) 377-5536 |
| Full Name | Peninsula Medica Group |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 827 Deep Valley Dr, Rolling Hills Estates, California |
| Authorized Official Name and Position | James Henry Flores (OWNER) |
| Authorized Official Contact | 3105440828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Medica Group 827 Deep Valley Dr Suite #310 Rolling Hills Estates CA 90274-3647 Ph: (310) 544-0828 | Peninsula Medica Group 827 Deep Valley Dr Suite #310 Rolling Hills Estates CA 90274-3647 Ph: (310) 544-0828 |
| NPI Number | 1730428004 |
|---|---|
| Provider Enumeration Date | 02/06/2013 |
| Last Update Date | 02/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730428004 | NPI | - | NPPES |
| F11432 | Other | UPIN | |
| 1720166481 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | G067438 (California) | Primary |
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