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SANTA CRUZ CAN AM MEDICAL GROUPINC NPI 1841228848


NPI Information

NPI: 1841228848
Provider Name: SANTA CRUZ CAN AM MEDICAL GROUP,INC
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
223 MOUNT HERMON RD # A
SCOTTS VALLEY, CA
ZIP 95066
Phone: (831) 462-1000
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SANTA CRUZ CAN AM MEDICAL GROUP,INC is a plastic and reconstructive surgery surgery in Scotts Valley, CA. The provider is a surgeon who specializes in plastic and reconstructive surgery. SANTA CRUZ CAN AM MEDICAL GROUP,INC NPI is 1841228848. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

223 MOUNT HERMON RD # A
SCOTTS VALLEY, CA
ZIP 95066-086
Phone: (831) 462-1000
Fax: (831) 462-9519

The provider's authorized official is Marie E Pletsch .
The authorized official title is President/surgeon and has the following contact phone number (831) 462-1000.

The enumeration date for this NPI number is 6/29/2006 and was last updated on 6/21/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0122XSurgeryPlastic and Reconstructive SurgeryG9937CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERCALIFORNIAIRS

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

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