PLASTIC & RECONSTRUCTIVE SURGERY CENTER – NPI #1891837415
Clinic/Center

PLASTIC & RECONSTRUCTIVE SURGERY CENTER is an AHC clinic located in SAN JOSE, CA. NPPES has assigned the NPI number 1891837415 to PLASTIC & RECONSTRUCTIVE SURGERY CENTER on February 12, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 13 years ago on Mar 21, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PLASTIC & RECONSTRUCTIVE SURGERY CENTER below.

NPI Profile for
PLASTIC & RECONSTRUCTIVE SURGERY CENTER

NPI Number
1891837415
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PLASTIC & RECONSTRUCTIVE SURGERY CENTER
Primary location
2581 SAMARITAN DR STE 102
SAN JOSE, CA 95124-4112
Phone: (408) 356-4962 Fax: (408) 356-4924
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
VINCENT LEPORE
CFO
Phone: (408) 356-4962
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 CA 2875

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.