OrganizationMichael A Mellenthin Md PcAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address3900 Sandhill Rd, Woodside, CA 94062-1231(650) 996-4813PECOS EnrollmentBased on the most recent information from CMS, provider Michael A Mellenthin Md Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:51 AM.Profile DetailsProvider ID1023476967Provider TypeOrganizationFull NameMichael A Mellenthin Md PcSubpartNoEnumeration Date2/7/2016Last Updated2/7/2016Contact InformationPractice LocationPractice Address3900 Sandhill Rd, Woodside, CA 94062-1231Phone(650) 996-4813Fax(650) 618-1752Mailing LocationMailing Address3900 Sandhill Rd, Woodside, CA 94062-1231Phone(650) 996-4813Fax(650) 618-1752Authorized OfficialNameMellenthin, Michael Alfred (Ceo)Phone(650) 996-4813Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseG58951California