Healthcare Provider Details

I. General information

NPI: 1316856099
Provider Name (Legal Business Name): SVEN GUNTHER MDINC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 SAINT MATTHEWS AVE
SAN MATEO CA
94401-2807
US

IV. Provider business mailing address

951 OLD COUNTRY RD STE 2 #263
BELMONT CA
94002
US

V. Phone/Fax

Practice location:
  • Phone: 650-590-9661
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SVEN GUNTHER
Title or Position: OWNER
Credential: MD
Phone: 619-252-8666