Plastic And Reconstructive Surgery

LBN: Plastic And Reconstructive Surgery
Plastic And Reconstructive Surgery is an health care organization with primary practice located at 1387 Santa Rita Rd , Pleasanton CA 94566-5643. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Plastic And Reconstructive Surgery can be contacted via phone (925) 462-3700, or through Hicklin, Judi via phone (925) 462-3700.

Contact Information

Primary practice address
1387 Santa Rita Rd Pleasanton CA 94566-5643
Phone: (925) 462-3700
Fax: (925) 462-4681
Website:
Map and Directions
Authorized official contact:
Name: Hicklin, Judi
Phone: (925) 462-3700

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 140000491 California

Profile Details

NPI number 1043249972
LBN Legal business name Plastic And Reconstructive Surgery
DBA Doing business as
Authorized official Hicklin, Judi
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2006
Last updated May 9th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043249972 NPPES
California Other 051102 BLUE CROSS

Popular Providers