| Plastic Surgery Institute Of Southern California | |
|
327 S Moorpark Rd Thousand Oaks CA 91361-1008 | |
| (805) 495-1043 | |
| Not Available |
| Full Name | Plastic Surgery Institute Of Southern California |
|---|---|
| Speciality | Clinic/center |
| Location | 327 S Moorpark Rd, Thousand Oaks, California |
| Authorized Official Name and Position | Edward Owen Terino (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8054951043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plastic Surgery Institute Of Southern California 327 S Moorpark Rd Thousand Oaks CA 91361-1008 Ph: (805) 495-1043 | Plastic Surgery Institute Of Southern California 327 S Moorpark Rd Thousand Oaks CA 91361-1008 Ph: (805) 495-1043 |
| NPI Number | 1861604902 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 07/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861604902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | G014784 (California) | Primary |
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