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California Institute Of Plastic And Reconstructive Surgery A Med. Corp
Medical Specialty Clinic/Center in San Diego, California
NPI 1609052893

California Institute Of Plastic And Reconstructive Surgery A Med. Corp is a Medical Specialty Clinic/Center based in San Diego, CA and is specialized in Medical Specialty. California Institute Of Plastic And Reconstructive Surgery A Med. Corp practices in San Diego, CA. The NPI Number for California Institute Of Plastic And Reconstructive Surgery A Med. Corp is 1609052893 and holds a License No. G63907 (California).

The current practice location address for California Institute Of Plastic And Reconstructive Surgery A Med. Corp is 11515 El Camino Real Ste 150, San Diego, CA and can be reached out via phone at 858-720-1440 and via fax at 858-509-7738.

Location: 11515 El Camino Real Ste 150, San Diego, CA, 92130-3037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609052893
Provider Name
California Institute Of Plastic And Reconstructive Surgery A Med. Corp
Credential
Provider Entity Type
Organization
Address
11515 El Camino Real Ste 150, San Diego, CA, 92130-3037
Phone Number
858-720-1440
Fax Number
858-509-7738
Provider Enumeration Date
01/17/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11515 El Camino Real Ste 150
City
San Diego
State
California
Zip
92130-3037
Phone Number
858-720-1440
Fax Number
858-509-7738
person
Provider Business Mailing Address Details
Address
11515 El Camino Real Ste 150
City
San Diego
State
California
Zip
92130-3037
Phone Number
858-720-1440
Fax Number
858-509-7738
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
G63907 (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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