Provider Demographics
NPI:1588830376
Name:PLASTIC SURGERY ASSOCIATES SURGERY CENTER
Entity Type:Organization
Organization Name:PLASTIC SURGERY ASSOCIATES SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:J
Authorized Official - Last Name:PIRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-348-5882
Mailing Address - Street 1:50 S SAN MATEO DR
Mailing Address - Street 2:SUITE 460
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-3857
Mailing Address - Country:US
Mailing Address - Phone:650-348-5882
Mailing Address - Fax:650-348-0394
Practice Address - Street 1:50 S SAN MATEO DR
Practice Address - Street 2:SUITE 460
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-3857
Practice Address - Country:US
Practice Address - Phone:650-348-5882
Practice Address - Fax:650-348-0394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAFNP33559261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical