Provider Type Icon

PLASTIC SURGERY CENTER LLC NPI 1477675841


NPI Profile

NPI: 1477675841
Provider Name: PLASTIC SURGERY CENTER LLC
Classification:Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D0956236

Address:
1515 EL CAMINO REAL
SUITE A
PALO ALTO, CA
ZIP 94306
Get Directions

Phone: (650) 322-2723

PLASTIC SURGERY CENTER LLC is an ambulatory surgical clinic center in Palo Alto, CA. PLASTIC SURGERY CENTER LLC NPI is 1477675841. The provider is registered as an organization entity type.

The provider's business location address is:

1515 EL CAMINO REAL
SUITE A
PALO ALTO, CA
ZIP 94306-052
Phone: (650) 322-2723
Fax: (650) 322-3260

The provider's authorized official is George Commons .
The authorized official title is Medical Director and has the following contact phone number (650) 328-4571.

The CLIA number assigned to this NPI record is 05D0956236 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 8/22/2020.


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
1261QA1903XClinic/CenterAmbulatory SurgicalCALIFORNIAYes

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: 10/10/2021

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.