A BEAU JEU PLASTIC SURGERY INC. NPI 1316136997

NPI Information

NPI: 1316136997
Provider Name: A BEAU JEU PLASTIC SURGERY INC.
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
212 N SAN MATEO DR
SAN MATEO, CA
ZIP 94401
Phone: (650) 342-1511
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A BEAU JEU PLASTIC SURGERY INC. is a plastic and reconstructive surgery surgery in San Mateo, CA. The provider is a surgeon who specializes in plastic and reconstructive surgery. A BEAU JEU PLASTIC SURGERY INC. NPI is 1316136997. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

212 N SAN MATEO DR
SAN MATEO, CA
ZIP 94401-609
Phone: (650) 342-1511

The provider's authorized official is James L Pertsch .
The authorized official title is President and has the following contact phone number (650) 342-1511.

The enumeration date for this NPI number is 10/18/2007 and was last updated on 10/18/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery	G626770	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E89328	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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