Healthcare Provider Details

I. General information

NPI: 1689636680
Provider Name (Legal Business Name): PETER LAIMONS NARUNS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 10/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2204 GRANT ROAD SUITE 203
MOUNTAIN VIEW CA
94040-3877
US

IV. Provider business mailing address

2204 GRANT ROAD SUITE 203
MOUNTAIN VIEW CA
94040-3877
US

V. Phone/Fax

Practice location:
  • Phone: 650-964-0600
  • Fax: 650-964-0991
Mailing address:
  • Phone: 650-964-0600
  • Fax: 650-964-0991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberG50961
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License NumberG50961
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: