PLASTIC & RECONSTRUCTIVE SURGERY CENTER NPI 1891837415

NPI Information

NPI: 1891837415
Provider Name: PLASTIC & RECONSTRUCTIVE SURGERY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
2581 SAMARITAN DR STE 102
SAN JOSE, CA
ZIP 95124
Phone: (408) 356-4962
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PLASTIC & RECONSTRUCTIVE SURGERY CENTER is an ambulatory surgical clinic center in San Jose, CA. PLASTIC & RECONSTRUCTIVE SURGERY CENTER NPI is 1891837415. The provider is registered as an organization entity type.

The provider's business location address is:

2581 SAMARITAN DR STE 102
SAN JOSE, CA
ZIP 95124-112
Phone: (408) 356-4962
Fax: (408) 356-4924

The provider's authorized official is Vincent Donald Lepore .
The authorized official title is Cfo and has the following contact phone number (408) 356-4962.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 3/21/2013.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	2875	CALIFORNIA	Yes

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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