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NPI Code Detail

MEDICARE: ATHERTON PLASTIC SURGERY CENTER

MEDICARE: ATHERTON PLASTIC SURGERY CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center2200269CA

General Provider Information

NPI Number : 1992827992
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATHERTON PLASTIC SURGERY CENTER
Provider Business Mailing Address
First Line : 3351 EL CAMINO REAL
Second Line : SUITE 200
City : ATHERTON
State : CA
Zip : 94027-3811
Country : US
Telephone Number : 650-363-0300
Fax Number : 650-363-0302
Provider Business Practice Location Address
First Line : 3351 EL CAMINO REAL
Second Line : SUITE 200
City : ATHERTON
State : CA
Zip : 94027-3811
Country : US
Telephone Number : 650-363-0300
Fax Number : 650-363-0302
Authorized Official
Title or Position : PRESIDENT
Name : DR. JANE SARA WESTON
Credential : M.D.
Telephone Number : 650-363-0300
Provider Enumeration Date : 04/03/2007
Last Update Date : 08/22/2020

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Directions to “ATHERTON PLASTIC SURGERY CENTER ” Practice Location

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