Organization · Type 2 NPI
Pacifica Institute of Cosmetic & Reconstructive Surgery Medical Group
Plastic and Reconstructive Surgery Physician · Camarillo, CA
NPI number
1598864845
Active
Practice location
2460 N. Ponderosa Dr #A-117
Camarillo, CA 93010
Fax (805) 389-1245
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | None listed |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
About NPI 1598864845
Pacifica Institute of Cosmetic & Reconstructive Surgery Medical Group's National Provider Identifier is 1598864845, issued on Sep 22, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Camarillo, CA. The record was last updated on Aug 22, 2020.