Organization · Type 2 NPI
A Professional Corporation
Plastic and Reconstructive Surgery Physician · Oakland, CA
NPI number
1508959990
Active
Practice location
3300 Webster Street, Ste 1109
Oakland, CA 94609
Fax (510) 763-7844
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 0434250 (CA) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
2 other providers at this address
Other plastic and reconstructive surgery physician providers in Oakland
About NPI 1508959990
A Professional Corporation's National Provider Identifier is 1508959990, issued on Sep 30, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Oakland, CA. The record was last updated on Jun 13, 2008.