Plastic And Reconstructive Surgery in Pleasanton - Ambulatory Surgical
Plastic And Reconstructive Surgery - NPI 1043249972
Plastic And Reconstructive Surgery is a Ambulatory Surgical in Pleasanton, California. Plastic And Reconstructive Surgery practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Plastic And Reconstructive Surgery is 1043249972. The last update date is 2012-05-09.
Plastic And Reconstructive Surgery's current location address is 1387 Santa Rita Rd, Pleasanton, California. You can contact this provider via phone number 9254623700 and fax number 9254624681. The mailing address for Plastic And Reconstructive Surgery is 1387 Santa Rita Rd, Pleasanton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Plastic And Reconstructive Surgery |
|---|---|
| Address | 1387 Santa Rita Rd, Pleasanton, California |
| Phone Number | 9254623700 |
| Fax Number | 9254624681 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Hicklin Judi |
| Telephone Number | 9254623700 |
NPI Number Detail
| NPI Number | 1043249972 |
|---|---|
| Provider Enumeration Date | 2006-07-02 |
| Last Updated Date | 2012-05-09 |
Provider Mailing Address Detail
| Address | 1387 Santa Rita Rd |
|---|---|
| City | Pleasanton |
| State | California (CA) |
| Post Code | 945665643 |
| Phone Number | 9254623700 |
| Fax Number | 9254624681 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 140000491 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51102 | CA | BLUE CROSS |
Post Comment/ Review Below
What is the Plastic And Reconstructive Surgery's unique identification number?
The Plastic And Reconstructive Surgery has been assigned the NPI (National Provider Identifier) Number 1043249972 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Plastic And Reconstructive Surgery is geographically located?
The Plastic And Reconstructive Surgery is physically situated at the following location: 1387 Santa Rita Rd, Pleasanton, CA, 945665643.
What is the area of specialization for Plastic And Reconstructive Surgery, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Plastic And Reconstructive Surgery is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this area of expertise is 261Qa1903X.
On what date was the 1043249972 assigned to Plastic And Reconstructive Surgery?
The Plastic And Reconstructive Surgery was issued its 1043249972 on 2006-07-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Plastic And Reconstructive Surgery most recently updated or revised?
The details related to Plastic And Reconstructive Surgery, including its address, specialty, and other relevant information, were last updated or revised on 2012-05-09.