Unknown Individual – Plastic and Reconstructive Surgery Physician, NPI 1871583682
Plastic and Reconstructive Surgery Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 620807
WOODSIDE, CA 940620807
Phone: (650) 714-2091
Fax: (208) 330-5801
Type: Mailing
2100;2140, Webster Street, Pacific Heights, San Francisco, California, 95115, United States
SUITE # 117
SAN FRANCISCO, CA 941152373
Phone: (415) 923-3340
Fax: (208) 330-5801
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 94062)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | DC | |
| - | CA | |
| N E U R O S U R G E R Y | MA | |
| Internal Medicine | CA | |
| Nurse Practitioner | CA | |
| Internal Medicine | CA | |
| - | MA | |
| Emergency Medicine | CA | |
| - | CA | |
| Internal Medicine | NY |
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