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Illuminate Plastic Surgery, Inc
Medical Specialty Clinic/Center in Palo Alto, California
NPI 1114384518

Illuminate Plastic Surgery, Inc is a Medical Specialty Clinic/Center based in Palo Alto, CA and is specialized in Medical Specialty. Illuminate Plastic Surgery, Inc practices in Palo Alto, CA. The NPI Number for Illuminate Plastic Surgery, Inc is 1114384518 and holds a License No. A98186 (California).

The current practice location address for Illuminate Plastic Surgery, Inc is 1515 El Camino Real Ste C, Palo Alto, CA and can be reached out via phone at 650-433-8621 and via fax at 650-322-8481.

Location: 1515 El Camino Real Ste C, Palo Alto, CA, 94306-1000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114384518
Provider Name
Illuminate Plastic Surgery, Inc
Credential
Provider Entity Type
Organization
Address
1515 El Camino Real Ste C, Palo Alto, CA, 94306-1000
Phone Number
650-433-8621
Fax Number
650-322-8481
Provider Enumeration Date
01/15/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1609057884 01 CA NPI
institution
Provider Business Practice Location Address Details
Address
1515 El Camino Real Ste C
City
Palo Alto
State
California
Zip
94306-1000
Phone Number
650-433-8621
Fax Number
650-322-8481
person
Provider Business Mailing Address Details
Address
1515 El Camino Real Ste C
City
Palo Alto
State
California
Zip
94306-1000
Phone Number
650-433-8621
Fax Number
650-322-8481
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
A98186 (California)
Definition
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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