Plastic and Reconstructive Surgery
Plastic and Reconstructive Surgery is an Ambulatory Surgical Clinic/Center in Pleasanton, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
Practice location Address checks out
1387 Santa Rita RdPleasanton, CA 94566-5643
Phone: (925) 462-3700
Fax: (925) 462-4681
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence 140000491 (CA) |
|---|
Record details
| NPI number | 1043249972 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Judi Hicklin — Administrator · (925) 462-3700 |
| NPI enumerated | July 2, 2006 |
| Last updated in NPPES | May 9, 2012 |
| Mailing address | 1387 Santa Rita Rd, Pleasanton, CA 94566-5643 |
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