MEDICARE: DEN MEDICAL GROUP, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1407994817
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEN MEDICAL GROUP, INC.

Provider Business Mailing Address
First Line	:	746 ALTOS OAKS DRIVE
Second Line	:
City	:	LOS ALTOS
State	:	CA
Zip	:	94024-5401
Country	:	US
Telephone Number	:	650-941-3112
Fax Number	:	650-941-4392

Provider Business Practice Location Address
First Line	:	746 ALTOS OAKS DRIVE
Second Line	:
City	:	LOS ALTOS
State	:	CA
Zip	:	94024-5401
Country	:	US
Telephone Number	:	650-941-3112
Fax Number	:	650-941-4392

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MICHAEL S DENENBERG
Credential	:	MD
Telephone Number	:	650-941-3112

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	08/13/2008

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