| NPI | 1376629998 |
|---|---|
| Doing Business As | PENINSULA MEDICAL, INC. |
| Entity Type | Organization |
| Authorized Contact | AMANDA CRISWELL Insurance Billing Manager 831-430-9066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 1196930001) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |