Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peninsula Plastic Surgery Medical Group Inc

Organization Plastic Surgery Physician · NPI 1902666324

Peninsula Plastic Surgery Medical Group Inc provides Plastic Surgery Physician services in Burlingame, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1750 El Camino Real Ste 405
Burlingame, CA 94010-3217
Phone: (650) 692-0467
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1902666324
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Butler — Authorized Official · (415) 713-4341
NPI enumeratedMarch 21, 2024
Last updated in NPPESMarch 21, 2024
Certification dateMarch 21, 2024
Mailing address1750 El Camino Real Ste 405, Burlingame, CA 94010-3217

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