Menlo Park Plastic Surgery Center
NPI #1023262417 in Menlo Park, California
Provider Information
- NPI Number
- 1023262417
- Entity Type
- Organization
- Organization Name
- Menlo Park Plastic Surgery Center
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Nov 11, 2008
- Last Updated
- Nov 11, 2008
Practice Location
- Address
- 631 MENLO AVE
- City
- Menlo Park
- State
- California
- ZIP Code
- 94025-4701
- Phone
- (650) 322-2443
Authorized Official
- Name
- BAL BAGWAT, M.D.
- Title
- PRESIDENT
- Phone
- (650) 322-2443
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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