Plastic & Reconstructive Surgery Center
Plastic & Reconstructive Surgery Center is an Ambulatory Surgical Clinic/Center in San Jose, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
2581 Samaritan Dr Ste 102San Jose, CA 95124-4112
Phone: (408) 356-4962
Fax: (408) 356-4924
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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 2875 (CA) |
|---|
Record details
| NPI number | 1891837415 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Vincent Lepore — Cfo · (408) 356-4962 |
| NPI enumerated | February 12, 2007 |
| Last updated in NPPES | March 21, 2013 |
| Mailing address | 2581 Samaritan Dr Ste 102, San Jose, CA 95124-4112 |
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