Peninsula Plastic Surgery Medical Group INC
NPI #1902666324 in Burlingame, California
Provider Information
- NPI Number
- 1902666324
- Entity Type
- Organization
- Organization Name
- Peninsula Plastic Surgery Medical Group INC
- Primary Specialty
- Plastic Surgery
- Enumeration Date
- Mar 21, 2024
- Last Updated
- Mar 21, 2024
Practice Location
- Address
- 1750 EL CAMINO REAL STE 405
- City
- Burlingame
- State
- California
- ZIP Code
- 94010-3217
- Phone
- (650) 692-0467
Authorized Official
- Name
- MICHELLE BUTLER
- Title
- AUTHORIZED OFFICIAL
- Phone
- (415) 713-4341
Specialties & Taxonomy Codes
| Specialty |
|---|
| Plastic Surgery |
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