Provider Demographics
NPI:1952742694
Name:MID PENINSULA HEALTHCARE INC.
Entity Type:Organization
Organization Name:MID PENINSULA HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMAD
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:PARSA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-365-9997
Mailing Address - Street 1:401 WARREN ST
Mailing Address - Street 2:300
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063-1578
Mailing Address - Country:US
Mailing Address - Phone:650-365-9997
Mailing Address - Fax:650-365-9782
Practice Address - Street 1:401 WARREN ST
Practice Address - Street 2:300
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-1578
Practice Address - Country:US
Practice Address - Phone:650-365-9997
Practice Address - Fax:650-365-9782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-10
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty