AESTHETX NPI 1598204943

NPI Information

AESTHETX is a plastic and reconstructive surgery surgery in Campbell, CA. The provider is a surgeon who specializes in plastic and reconstructive surgery. AESTHETX NPI is 1598204943. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3803 S BASCOM AVE
SUITE 100
CAMPBELL, CA
ZIP 95008-317
Phone: (408) 559-7177
Fax: (408) 559-7199

The provider's authorized official is Kamakshi R Zeidler .
The authorized official title is General Partner and has the following contact phone number (408) 559-7177.

The CLIA number assigned to this NPI record is 05D1015157 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/17/2017 and was last updated on 2/17/2017.

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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