Organization · Type 2 NPI

Illuminate Plastic Surgery, Inc

Medical Specialty Clinic/Center · Palo Alto, CA

NPI number 1114384518 Active

Practice location

1515 El Camino Real Ste C
Palo Alto, CA 94306-1000

Fax (650) 322-8481

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XA98186 (CA)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1114384518

Illuminate Plastic Surgery, Inc's National Provider Identifier is 1114384518, issued on Jan 15, 2016. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Palo Alto, CA. The record was last updated on Jan 15, 2016.