OrganizationActive
Ear, Nose & Throat Medical Associates of the Peninsula, Inc
NPI 1467720722 · Otolaryngology/Facial Plastic Surgery Physician · San Mateo, CA
Provider details
- NPI number
- 1467720722
- Entity type
- Organization
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Bock Hughes, President(650) 344-6896
- License
- G071603 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
100 S Ellsworth Ave
Suite 308
San Mateo, CA 94401-3939
Phone: (650) 344-6896
Fax: (650) 344-2794
Approximate (ZIP-level) locationGet directions
Mailing address
322 Franklin St
San Mateo, CA 94402-2214
Registry dates
- Enumerated
- 2011-12-01
- Last updated
- 2012-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.