Peninsula Neurological Associates

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

PENINSULA NEUROLOGICAL ASSOCIATES

Practice address

1750 El Camino Real
Suite 106
Burlingame, CA 94010

Phone

(650) 697-6632

Fax

(650) 697-9370

NPI assigned

Mar 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael S Cohen, MD

Title

President

Phone

(650) 697-6632

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence Yongshik Kim, M.D.

  • Neurology Physician
  • Burlingame, CA
  • NPI 1598828345
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043335227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SULLIVAN AVENUE",
            "address_2": "SUITE 602",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "94015",
            "telephone_number": "650-755-2455",
            "fax_number": "650-755-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 EL CAMINO REAL",
            "address_2": "SUITE 106",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "94010",
            "telephone_number": "650-697-6632",
            "fax_number": "650-697-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA NEUROLOGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-697-6632",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peninsula Dermatology Medical Group Inc
• Peninsula Endoscopy Center LLC
• Peninsula Heights Diagnostic Laboratories, Inc.
• Peninsula Hospitalist Associates, Inc.
• Peninsula Medical Group
• Peninsula Ophthalmology Group, Inc.
• Peninsula Pathologists Medical Group Inc.
• Peninsula Pediatric Med GRP Inc
• Peninsula Plastic Surgery Medical Group Inc
• Peninsula Professional Center Pharmacy

• Neurology Physician in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.