Provider Demographics
NPI:1760722755
Name:HOSPITALISTS OF THE PENINSULA
Entity Type:Organization
Organization Name:HOSPITALISTS OF THE PENINSULA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:KALDOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-988-4888
Mailing Address - Street 1:4701 PATRICK HENRY DR
Mailing Address - Street 2:BLDG 24
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95054-1819
Mailing Address - Country:US
Mailing Address - Phone:408-988-4888
Mailing Address - Fax:
Practice Address - Street 1:1501 TROUSDALE DR
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-4506
Practice Address - Country:US
Practice Address - Phone:408-988-4888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-27
Last Update Date:2013-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA89093207R00000X
CAA77458207R00000X
CA20A10584207R00000X
CAA93117207R00000X
CAA112265207R00000X
CAA87622207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty