PREMIER PLASTIC SURGERY CENTER NPI 1952669533

NPI Information

NPI: 1952669533
Provider Name: PREMIER PLASTIC SURGERY CENTER

Former Legal Business Name: TRIDENT MOUNTAIN LP

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1795 EL CAMINO REAL
SUITE 200
PALO ALTO, CA
ZIP 94306
Phone: (650) 321-7100
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PREMIER PLASTIC SURGERY CENTER is an ambulatory surgical clinic center in Palo Alto, CA. PREMIER PLASTIC SURGERY CENTER NPI is 1952669533. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Trident Mountain Lp.

The provider's business location address is:

1795 EL CAMINO REAL
SUITE 200
PALO ALTO, CA
ZIP 94306-164
Phone: (650) 321-7100
Fax: (650) 323-3220

The provider's authorized official is Windy He .
The authorized official title is PRACTICE MANGERManger and has the following contact phone number (650) 321-7100.

The enumeration date for this NPI number is 5/2/2012 and was last updated on 1/23/2017.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3388	OTHER	CALIFORNIA	AAAASF

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: 11/14/2023

NPI Synchronization or Removal

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