| NPI | 1578689592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT DONALD LEPORE President 408-356-4241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA 00G591810) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA E27409) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA A27409) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA 00G485880) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2014-10-28 |