AESTHETICA PLASTIC SURGICENTER; NPI #1588745921

Contact Information

AESTHETICA PLASTIC SURGICENTER

15251 NATIONAL AVE
SUITE 207
LOS GATOS, CA 95032-2400

Phone: 408-356-0052
Fax: 408-356-9186
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for AESTHETICA PLASTIC SURGICENTER

NPI Number 1588745921

LBN Legal business name AESTHETICA PLASTIC SURGICENTER

Authorized official GREGORY JELLINEK - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/18/2006

Last updated 06/16/2008 - About 18 years ago

Identifiers

License #

05C0001148

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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