Illuminate Plastic Surgery, Inc
Illuminate Plastic Surgery, Inc is a Medical Specialty Clinic/Center in Palo Alto, California. Licensed in California. Registered with an NPI since 2016.
- Licensed in
- CA
- In the registry since
- 2016
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1515 El Camino Real Ste CPalo Alto, CA 94306-1000
Phone: (650) 433-8621
Fax: (650) 322-8481
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X · Licence A98186 (CA) |
|---|
Record details
| NPI number | 1114384518 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Boudreault — Owner · (650) 433-8621 |
| NPI enumerated | January 15, 2016 |
| Last updated in NPPES | January 15, 2016 |
| Mailing address | 1515 El Camino Real Ste C, Palo Alto, CA 94306-1000 |
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Stuart Martin Weisman, MD, In
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