RESTORE SD PLASTIC SURGERY NPI 1770020471

NPI Information

RESTORE SD PLASTIC SURGERY is a plastic and reconstructive surgery surgery in San Diego, CA. The provider is a surgeon who specializes in plastic and reconstructive surgery. RESTORE SD PLASTIC SURGERY NPI is 1770020471. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

8929 UNIVERSITY CENTER LN
SUITE 201
SAN DIEGO, CA
ZIP 92122-006
Phone: (858) 444-7578

The provider's authorized official is Trent D Douglas .
The authorized official title is President and has the following contact phone number (858) 444-7578.

The enumeration date for this NPI number is 1/20/2017 and was last updated on 1/20/2017.

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:

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